Question

a nurse is collecting data from a client who sustained superficial partial - thickness and deep partial - thickness burns 72 hr ago. which of the following findings should the nurse report to the provider?
edema in the affected extremities
severe pain at the burn sites
urine output of 30 ml/hr
temperature of 39.1°c (102.4°f)

Explanation:

1. Analyze each option:

• Edema in affected extremities: Expected in burn recovery (fluid shift, tissue injury), not urgent to report.
• Severe pain at burn sites: Common in partial - thickness burns (nerve endings intact), managed with pain meds, not an urgent report.
• Urine output of 30 mL/hr: Adequate (normal urine output ≥30 mL/hr), shows renal perfusion.
• Temperature of 39.1°C (102.4°F): Fever in burn patients (72 hr post - burn) may indicate infection (burn wound sepsis risk), a critical finding to report.

Answer:

D. Temperature of \( 39.1^\circ \text{C} (102.4^\circ \text{F}) \)