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    Ati med surg proctored exam (Renal and burn)

    A nurse is caring for a client admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

    Explanation & Rationale

    A. "Incisions will be made in the burnt tissues to improve circulation.": An escharotomy involves surgical incisions through the eschar (thick, leathery burned tissue) to relieve pressure, restore circulation, and prevent tissue necrosis in cases of circumferential burns. B. "This procedure involves placing the client into a Whirlpool tub and removing the dead tissue.": This describes hydrotherapy or debridement, not an escharotomy. It is used for wound cleaning, not for relieving pressure. C. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area.": This describes a skin graft, which is a reconstructive procedure typically done after burn wounds begin healing or are debrided. D. "Dead tissue will be non-surgically removed.": Non-surgical removal of tissue refers to autolytic or enzymatic debridement, not escharotomy, which is a surgical intervention to restore perfusion.

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