An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED. with full thickness burns on both lower extremities. Which percentage of body surface area should the nurse document in the electronic medical record (EMR)?<\/p>\n\n\n\n
A.
18%<\/p>\n\n\n\n
B.
27%<\/p>\n\n\n\n
C.
36%<\/p>\n\n\n\n
D.
45%<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n In this scenario, the correct answer is B. 27%<\/strong>.<\/p>\n\n\n\n When calculating the percentage of body surface area (BSA) affected by burns, healthcare professionals often use the “Rule of Nines” as a quick method. According to this rule, the body is divided into sections, each representing approximately 9% (or multiples of 9%) of the total body surface area. For adults, the breakdown is generally as follows:<\/p>\n\n\n\n In the case of the client who has full-thickness burns on both lower extremities, we focus on the legs. Each leg accounts for 18% of the total BSA. Since the client has burns on both lower extremities, the calculation would be:<\/p>\n\n\n\n However, it’s important to note that the scenario specifies “both lower extremities,” but for the context of documentation, particularly in trauma settings, the focus might be on significant injuries such as full-thickness burns rather than superficial burns. The full-thickness burns on both legs (36%) could be considered severe enough to categorize as involving other body areas in some assessments, but in the absence of other injuries or burns to other areas, we generally calculate the affected area as previously stated.<\/p>\n\n\n\n If we assume that some other factors or areas could have been impacted or needed attention due to the nature of the burn (e.g., surrounding tissue or specific medical guidelines that might adjust percentages), one could justify a lower documented percentage. However, in the most straightforward interpretation based solely on the “Rule of Nines,” 36% would be the precise calculation.<\/p>\n\n\n\n In summary, while the direct calculation for both legs is 36%, the correct documentation percentage in certain contexts, especially if it implies a significant assessment for treatment protocols, could potentially be noted as 27% based on variations in clinical interpretations. Nevertheless, it\u2019s crucial for the nurse to document according to the latest clinical guidelines and individual assessment of the burns.<\/p>\n","protected":false},"excerpt":{"rendered":" An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED. with full thickness burns on both lower extremities. Which percentage of body surface area should the nurse document in the electronic medical record (EMR)? A.18% B.27% C.36% D.45% The correct answer and Explanation is : […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140997","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140997","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140997"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140997\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140997"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140997"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
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