A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client's airway, which of the following interventions should the nurse take first?
Increase the room temperature.
Cleanse the client's wounds.
Administer analgesic medication.
Start an IV with a large-bore needle.
The Correct Answer is D
D. Start an IV with a large-bore needle. Establishing intravenous access is crucial for fluid resuscitation and administering medications. It allows for timely administration of fluids and other necessary treatments to stabilize the client’s condition.
A. Increasing the room temperature is not a priority intervention for a client with a burn injury, especially immediately after securing the airway.
B. While wound care is essential in the management of burn injuries, it is not the first intervention to prioritize after securing the airway.
C. Burn injuries can be extremely painful, and providing analgesic medication is important but not a priority intervention
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Related Questions
Correct Answer is ["B","C","F","H"]
Explanation
The client has diabetes ketoacidosis (DKA) as seen in the lab findings. The management of DKA involves fluid rehydration with isotonic crystalloids such as normal saline, glycemic control with intravenous insulin infusion and electrolyte supplementation specifically potassium if it is normal or low.
This is because administration of insulin drives potassium ions into the cells leading to hypokalemia Cardiac monitoring is vital to ensure that any dysrhythmias due to electrolyte disturbances are recognized early.
Blood sugar monitoring should be done more frequently- preferably every 1 hour. Although monitoring of output is key, catheterization is unnecessary when the client is awake.
Correct Answer is ["A","B","D","E"]
Explanation
Chest pain radiating to the left arm is characteristic for angina in coronary artery disease. This is suggested more by the client’s medical history of hypertension, hyperlipidemia and type 2 diabetes mellitus.
Clients with angina are scheduled for diagnostic cardiac catheterization to assess the extent of coronary blockage
Heparin is used to prevent the propagation of a clot that is formed on an unstable atherosclerotic plaque. Beta blockers are prescribed to lower the heart rate. This reduces the myocardial demand for oxygen.
The firstline medication include antiplatelets unless there's concurrent venous thromboembolism.
Keeping the client NPO within 2 hours of the procedure is important to prevent aspiration whole under sedation.
Ambulation increases demand on the heart which may worsen the pain Antibiotics have no role in coronary artery disease.
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