A nurse is providing teaching to a parent of a preschooler who has eczema.

Which of the following instructions should the nurse include in the teaching?

The correct answers are C, D, and E.

Choice A rationale: Intact epidermis would not be expected with a partial-thickness burn as the burn extends into the dermis.

Choice B rationale: A dry surface is not characteristic of partial-thickness burns, which typically have a moist surface.

Choice C rationale: Partial-thickness burns are sensitive to touch due to the damage to nerve endings in the dermis.

Choice D rationale: Wound blanches with pressure because the blood vessels are damaged, allowing blanching on pressure.

Choice E rationale: Blisters are a common feature of partial-thickness burns, as the damage to the dermis causes fluid to accumulate.

a.Log rolling is an appropriate technique to reposition a postoperative scoliosis repair patient as it minimizes stress on the spine and helps maintain spinal alignment. Patients need frequent repositioning to prevent pressure ulcers and promote comfort, but every 4 hours may not be frequent enough; typically, every 2 hours is recommended.

b.Protective isolation is not typically required for patients undergoing scoliosis surgery unless they have specific risk factors for infection (e.g., immunocompromised status). Standard postoperative care focuses on monitoring for infection at the surgical site rather than isolation unless indicated by the patient's condition.

c.While it’s important to elevate the head of the bed to assist with breathing and comfort, after scoliosis surgery, the head of the bed is generally elevated to 30-45° to facilitate lung expansion and reduce the risk of aspiration. However, it should be ensured that this angle does not compromise spinal alignment, especially in the early postoperative period.

d.The use of a patient-controlled analgesia (PCA) pump is an appropriate intervention for pain management after scoliosis surgery. It allows the patient to self-administer pain medication within prescribed limits, leading to more effective pain management, improved patient satisfaction, and potentially reduced need for supplemental analgesics.