Practice Question
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness bums of the head, neck, and chest. While planning the clients care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Answer Choices:
Correct Answer:
Airway obstruction
Rationale:
➤ Facial, neck, and chest burns pose a severe threat to the airway due to rapid edema formation, inhalation injury, and thermal damage to the upper airway.
➤ These injuries can cause laryngeal edema, mucosal blistering, or obstruction — even when the airway initially appears clear.
➤ Early airway management (e.g., prophylactic intubation) is crucial within the first few hours, especially when voice hoarseness, stridor, or soot is present.
➤ Infection, ileus, and fluid shifts are concerns but do not override the immediacy of airway compromise in this region of injury.
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This question is from RN ATI Custom Nurs 235 Summer~2023(Final) which contains 65 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4