Question

The registered nurse is teaching a student nurse about the ongoing monitoring of a client with electrical burns. Which statement made by the student nurse indicates the need for further teaching?1. I should monitor the air way.2. I should monitor the vital signs.3. I should monitor urine output.4. I should monitor the eye PH.

Answer 1

Answer:

4. I should monitor the eye PH

Explanation:

"I should monitor the eye PH" is the statement made by the student nurse which indicate that she need further teaching because the eye PH does not have anything to do with the patient that has electrical burn.

The only time she can monitor a patient eyes PH is when the patient has eye injury in which she will neutralize the chemical and return the pH to neutral in order to avoid further eye injury since pH is often tested to help determine if the eye has been irrigated enough to remove the chemical.

But in this case the patient has electrical burn in which the right statement from the student could have been:

I should monitor the air way.

I should monitor the vital signs.

I should monitor urine output.

Therefore the student nurse will need further teaching by the Registered nurse for such statement.

Answer 2

Answer:

4: I should monitor the Eye PH

Explanation:

The pH of the eye is usually monitored when chemical burns occur to the eye, to know if the chemical has altered the PH of the Eye in any way, either by increasing its acidity or alkalinity.

But if Electrical burn occurs, the nurse should monitor the airway for breathing, vital signs, heart rhythm if it is normal or abnormal, neuro vascular status of injured limbs should be assessed too, the client's level of consciousness, and urine output should all be taken note of and not the client's PH level.