NCLEX Med Surg – Burns Practice Test

Positioning is a critical aspect of care for patients with burn injuries, as it helps prevent complications such as contractures and promotes optimal healing. Elevating the injured arm and hand on pillows while extending the fingers is essential for several reasons:

1. **Reducing Edema**: Elevation decreases swelling by promoting venous return and lymphatic drainage, which is particularly important in the early stages after a burn.

2. **Preventing Contractures**: Keeping the fingers extended helps prevent the formation of contractures, which can occur when the skin heals in a shortened or flexed position. When hands and fingers are kept straight, it allows for better range of motion during the healing process.

3. **Promoting Circulation**: Elevating the limb can enhance blood circulation to the area, which is vital for healing and recovery. This is especially crucial in burn management, where blood flow can be compromised due to inflammation or fluid shifts.

Using pillows to elevate the arm also provides comfort and support, making it less likely for the patient to accidentally put pressure on the burned areas, which can exacerbate pain and hinder healing. Proper positioning not only supports the physical needs of the patient but also contributes to their overall psychological well-being, as comfort can help