A patient experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with partial-thickness burns on the anterior surfaces of both lower extremities. Which percentage of body surface area should the nurse document in the electronic medical record (EMR)?

Choice A reason: This hernia is a normal variation that resolves without treatment is a correct explanation for the nurse to provide, as this refers to an umbilical hernia, which is a common and harmless condition in infants that usually disappears by age 2. Therefore, this is the correct choice.

Choice B reason: An abdominal binder can be worn daily to reduce the protrusion is not an appropriate explanation for the nurse to provide, as this is not an effective or recommended method to treat a hernia. This is a distractor choice.

Choice C reason: Restrictive clothing will be adequate to help the hernia go away is not a relevant explanation for the nurse to provide, as this does not affect the hernia or its resolution. This is another distractor choice.

Choice D reason: The quarter should be secured with an elastic bandage wrap is not a sensible explanation for the nurse to provide, as this is a folk remedy that has no scientific basis and can cause skin irritation and infection. This is another distractor choice.

Choice A reason: Notifying the healthcare provider is an important action, but not the first one. The nurse should prioritize interventions that address the client's immediate needs, such as oxygenation and circulation.

Choice B reason: Preparing a continuous heparin infusion per protocol is an appropriate action for preventing further clot formation and reducing the risk of recurrent pulmonary embolism, but it is not the first action. The nurse should first stabilize the client's condition before administering anticoagulant therapy.

Choice C reason: This is the correct answer because providing supplemental oxygen is the first action that the nurse should take to improve the client's oxygenation and reduce hypoxia. Pulmonary embolism can cause impaired gas exchange and respiratory distress, which can lead to cardiac arrest and death if not treated promptly.

Choice D reason: Bringing the emergency crash cart to the bedside is a prudent action, but not the first one. The nurse should prepare for possible cardiopulmonary resuscitation (CPR) in case of cardiac arrest, but should first attempt to prevent it by providing oxygen and other supportive measures.