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A nurse in the emergency department is assessing a newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following actions should the nurse take first?

A.

Obtain a blood specimen for ABG analysis.

B.

Apply 100% humidified oxygen.

C.

Obtain a baseline ECG.

D.

Insert an 18-gauge IV catheter.

Answer and Explanation

The Correct Answer is B

A.    Obtain a blood specimen for ABG analysis. Important, but not the first action.

B.    In a client with burn injuries experiencing signs of airway compromise (drooling, hoarseness), the first action should be to ensure adequate oxygenation. Applying 100% humidified oxygen can help manage potential airway edema.
C.    Obtain a baseline ECG. Necessary for monitoring but secondary to securing the airway.
D.    Insert an 18-gauge IV catheter. Essential for fluid resuscitation and medication administration, but after ensuring adequate oxygenation.
 


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Explanation

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