During the acute phase of a burn, the nurse in-charge should assess which of the following?
a. Client’s lifestyle
b. Alcohol use
c. Tobacco use
d. Circulatory status
Answer D.
During the acute phase of a burn, the nurse should assess the client’s circulatory and respiratory status, vital signs, fluid intake and output, ability to move, bowel sounds, wounds, and mental status. Information about the client’s lifestyle and alcohol and tobacco use may be obtained later when the client’s condition has stabilized.
a. Client’s lifestyle
b. Alcohol use
c. Tobacco use
d. Circulatory status
Answer D.
During the acute phase of a burn, the nurse should assess the client’s circulatory and respiratory status, vital signs, fluid intake and output, ability to move, bowel sounds, wounds, and mental status. Information about the client’s lifestyle and alcohol and tobacco use may be obtained later when the client’s condition has stabilized.