You are assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her neck, chest, abdomen, and left arm.

You are assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her neck, chest, abdomen, and left arm. The burn injury occurred during a fire in her home; her spouse did not survive the fire, but, due to the patient’s critical condition, she is not aware of his death. She is currently in the surgical intensive care unit. Her body temperature is 36.6° C. Her pulse is 126. Her respiration rate is 12. Her blood pressure is 104/60. She is sedated with a continuous infusion of Propofol and is intubated and on a mechanical ventilator. She has a right femoral triple lumen catheter and a right radial arterial line. The patient weighs 50 kilograms. (Learning Objectives 3, 5, and 7)

a.       Using the rule of nines, calculate the patient’s total body surface area burned.

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b.      What clinical manifestations would be expected based on the extent and location of her burn injuries?

c.       Prioritize nursing diagnoses and collaborative problems for this patient.