Page 903 - Saunders Comprehensive Review For NCLEX-RN

Health Problem: Pediatric-Specific: Skin Inflammation/Infection
Priority Concepts: Clinical Judgment; Infection
Reference: McKinney et al. (2018), p. 1187.

301. Answer: 2, 3, 6

Rationale: Pediatric considerations in the care of a burn victim include the
following: Scarring is more severe in a child than in an adult. A delay in growth may
occur after a burn injury. An immature immune system presents an increased risk of
infection for infants and young children. The higher proportion of body fluid to
body mass in a child increases the risk of cardiovascular problems. Burns involving
more than 10% of total body surface area require some form of fluid resuscitation.
Infants and young children are at increased risk for protein and calorie deficiencies
because they have smaller muscle mass and less body fat than adults.
Test-Taking Strategy: Focus on the subject, pediatric considerations in the care of
a child who has sustained a burn injury. To answer correctly, read each option
carefully and think about the physiology of a child related to body size.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Planning
Content Area: Pediatrics: Integumentary
Health Problem: Pediatric-Specific: Burns
Priority Concepts: Development; Tissue Integrity
Reference: McKinney et al. (2018), p. 1194.

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