A nurse in an emergency department is caring for a client who has deep partial- and full thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation of phase of injury?

Medicate for pain.

Maintain the airway.

Insert an indwelling urinary catheter.

Initiate fluid resuscitation.

Answer and Explanation

The Correct Answer is B

This is because inhalation injury can cause airway edema, obstruction, and respiratory failure, which can be life-threatening. The nurse should monitor the client's respiratory status, administer oxygen, and prepare for intubation if needed.

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Correct Answer is {"dropdown-group-1":"A"}

Explanation

Tuberculosis is a bacterial infection that affects the lungs and can be transmitted through respiratory droplets. People with HIV are more susceptible to tuberculosis because their immune system is weakened by the virus. Tuberculosis can cause fever, cough, weight loss, and night sweats. The client's vital signs indicate that they have a fever and a high heart rate and respiratory rate, which could be signs of tuberculosis.

A. Difficulty swallowing B. Urinary output 25 mL/hr C. Heart rate 122/min D. Pain of 6 on a scale of 0 to 10

Correct Answer is A

Explanation

Difficulty swallowing is the priority finding to report to the provider. Rationale: This is because difficulty swallowing can indicate airway edema, which can compromise breathing and oxygenation. The nurse should monitor the client's respiratory status and administer oxygen as prescribed. The other findings are also important, but not as urgent as airway obstruction.

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A nurse in an emergency department is caring for a client who has deep partial- and full thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation of phase of injury?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has HIV. Exhibits The client is at risk for developing .

Correct Answer is {"dropdown-group-1":"A"}

Explanation

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?

Correct Answer is A

Explanation

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