Question

Nurse Jane formulates a nursing diagnosis of Impaired physical mobility for a client with third-degree burns on the lower portions of both legs. To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase?
A. Related to fat emboli
B. Related to infection
C. Related to femoral artery occlusion
D. Related to circumferential eschar

Answer 1

Answer:

D. Related to circumferential eschar.

Explanation:

The third degree burns are also called full thickness burns.

The skin becomes pearly gray / charred skin ( Circumferential scar )

They usually involves all the layers of the skin and also the underlying tissue.

It is the most severe burn.

It may be painful may be painless.

Can be life threatning due to fluid loss.

As the eschar is defined as a sloughed off peice of a dead tissue from the skin especially after burn thus the nurse should add a " Related to circumferential eschar " phrase.