ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
10-year-old with extensive partial and full-thickness burns of the head, neck, and chest.
Question 1 of 5
A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: C
Rationale: The correct answer is C: Airway obstruction. In a burn victim with injuries to the head, neck, and chest, there is a risk of swelling and edema that can compromise the airway. This is a priority because airway compromise can quickly lead to respiratory distress or failure. The nurse should assess for signs of airway obstruction such as stridor, hoarseness, and difficulty breathing. Prompt intervention with airway management may be necessary to prevent a life-threatening situation.
Choices A, B, and D are also important considerations in burn care, but airway obstruction takes precedence due to its immediate threat to the client's life. Paralytic ileus, fluid imbalance, and infection can lead to complications if not addressed, but they are not as urgent as ensuring a patent airway in this situation.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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