The nurse is caring for a patient who has suffered a significant burn and notes that a transfusion is ordered.
Which blood product is most likely to be ordered for this patient?

Choice A rationale

A loud, brassy cough in a burn patient rescued from a fire is a critical sign of upper airway edema, often caused by inhalation of hot gases or toxins. This swelling can rapidly lead to complete airway obstruction. Antitussive medications suppress coughing and would mask this vital clinical sign, delaying the necessary and immediate intervention of securing the airway.

Choice B rationale

Providing ice chips or sips of water may be considered for a sore throat, but in the context of a potential inhalation injury, this action is contraindicated. Swelling of the laryngeal and pharyngeal tissues can progress rapidly, and there is a high risk of aspiration if the patient's swallowing reflex is compromised or the airway becomes obstructed.

Choice C rationale

Humidified air can help soothe irritated mucous membranes, but it is not the first action in a patient with a rapidly deteriorating airway. The loud, brassy cough signifies significant laryngeal edema, which can progress to complete obstruction. The immediate priority is to assess, stabilize, and protect the airway with supplemental oxygen and continuous monitoring before it closes.

Choice D rationale

A loud, brassy cough is a hallmark sign of upper airway edema, a serious complication of inhalation injury. The swelling can quickly lead to airway obstruction. Applying oxygen and continuous pulse oximetry is the first action to ensure adequate oxygenation and monitor for signs of impending respiratory failure, while simultaneously preparing for definitive airway management.

The patient has an order for Coumadin 3.75 mg today. The pill from the pharmacy is 2.5 mg. How many pills would you give?.

Step 1: Calculate the number of pills needed. 3.75 mg ÷ 2.5 mg = 1.5 pills. The nurse would give 1.5 pills.