The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed for the client? (Select all that apply)

Choice A reason: Restricting fluids is contraindicated in burns, as hypovolemia requires aggressive fluid resuscitation. Administering lactated Ringer’s is correct, making this incorrect, as it’s unsafe compared to the nurse’s priority to restore volume in a burn-injured client.

Choice B reason: Dextrose 5% is not used for burn resuscitation, as it lacks electrolytes needed for fluid shifts. Lactated Ringer’s is standard, making this incorrect, as it’s inappropriate compared to the nurse’s focus on proper fluid therapy for burn management.

Choice C reason: Administering oxygen addresses potential airway compromise and hypoxia from facial and chest burns. This aligns with burn care priorities, making it a correct action the nurse would implement to ensure respiratory stability in the emergency department.

Choice D reason: A cooling blanket is not standard for partial-thickness burns; cooling is brief and initial. Elevating extremities reduces edema, making this incorrect, as it’s not a priority action compared to the nurse’s focus on burn injury management.

Choice E reason: Elevating extremities without fractures reduces edema in burned arms, improving circulation. This aligns with burn care protocols, making it a correct action the nurse would implement to manage swelling in the client with partial-thickness burns.

Choice F reason: Oral pain medication is contraindicated with facial burns due to airway risks and absorption issues. IV lactated Ringer’s is appropriate, making this incorrect, as it’s unsafe compared to the nurse’s priority for pain management in burns.

Choice G reason: Administering lactated Ringer’s 1 L bolus restores fluid volume in burn-induced hypovolemia, per resuscitation protocols. This is a correct action the nurse would implement to stabilize the client with partial-thickness burns in the emergency department.

Choice A reason: Seizure precautions are relevant but secondary to establishing IV access for antihypertensive administration in hypertensive crisis. Starting an IV enables immediate treatment, making this incorrect, as it delays the critical intervention needed to lower the client’s dangerously high blood pressure.

Choice B reason: Instructing to report vision changes monitors complications but doesn’t address the urgent need to lower blood pressure. IV access facilitates medication delivery, making this incorrect, as it postpones the primary action for managing the client’s hypertensive crisis effectively.

Choice C reason: Hypertensive crisis can cause severe headache, risk for stroke, pulmonary edema, and difficulty breathing. Elevating the HOB improves cerebral perfusion, reduces intracranial pressure, and eases breathing. This is an immediate, noninvasive, airway/circulation-supportive intervention.

Choice D reason: Needed for IV antihypertensive administration, but initial safety and circulation support (C) takes priority before establishing access.