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Burn NCLEX Questions with Answers and Rationales 2021/2022
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Burn NCLEX Questions with Answers and Rationales 1. A nurse is caring for a client who has full-thickness burns covering 63% of her body and smoke inhalation. Which of the following nursing actions... is top priority? A. Monitor intake and output B. Administer antibiotics C. Monitor respiratory status D. Encourage fluid and food intake Correct Answer is C. Monitor Respiratory Status The priority action for the nurse when using airway, breathing, and circulation (ABC) approach to client care is to monitor the client’s respiratory status closely. Smoke inhalation most likely includes a thermal injury to the tracheobronchial tree. Edema from the inflammatory response to heat can obstruct the airway. Endotracheal intubation may become necessary to maintain a patient airway. Incorrect Answers [Show More]
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