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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31.5"]
Explanation
The anterior chest wall and abdomen accounts for 18%, the left upper limb 9 % (4.5% anteriorly and 4.5% posteriorly), and the right upper limb 4.5% (2.25% anteriorly and 2.25% posteriorly).
(18+9+4.5) =31.5%
Correct Answer is A
Explanation
This is because fluticasone is an inhaled corticosteroid that suppresses the immune system and increases the risk of fungal infections in the mouth and throat. The nurse should instruct the client to rinse their mouth with water after each use of fluticasone and to report any signs of oral thrush, such as white patches, soreness, or difficulty swallowing. Polyuria, hypertension, and hypoglycemia are not associated with fluticasone.
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