Essay
NR 442 Multi Client SIM Chamberlain College Nursing
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- NR 442 Multi Client SIM
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- Chamberlain College Nursing
NR 442 Multi Client SIM Chamberlain College Nursing
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NR 442 Multi Client SIM1. Review classifications of burn injury depth
a. First degree- Superficial. It is localized to the epidermis, and the injury is not
life threatening.
b. Second degree- Superficial Partial-thickness. Injury from epidermis to the
superficial layer of dermis. Fluid filled blistering, nerve endings are exposed
once blisters pop causing pain. There is a loss of skin barrier function.
c. Second degree- Deep Partial-Injury from epidermis to the deep layers of the
dermis. Damage occurs to the hair follicles and glandular tissue. Patient may need
grafting.
d. Third degree & Fourth degree- Full thickness burns. This injury affects all body
systems and organs as the injury goes from epidermis to the subcutaneous layer.
Muscles, bones and interstitial tissue are damaged. There is no pain because of
the extensive nerve damage.
2. Identify the key components of caring for the client with burns in the rehabilitation phase
of recovery.
a. Pain control and national needs
b. fluid volume control
c. stable cardiac function
d. Proper nutrition to increase in protein.
3. Describe one nursing or client teaching consideration in regard to each of the following for
the client receiving Warfarin therapy for atrial fibrillation.
a. The Client should report any type of bleeding or bruising. This includes from
the gums and nose.
b. Report tarry stools, or hematuria.
c. Report pain or any change in color to the body
d. Client is to watch intake of leafy greens vegetables, due to therapeutic effects
4. Describe the recommended schedule for adult vaccination administration and the nurses’
role in educating the client and administration
a. The CDC website offers a list of adult vaccinations.
b. The nurse educates the client on vaccinations and can administer
missing vaccinations to the patient.
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