A client is thought to have experienced smoke inhalation during a home fire. The nurse's priority of care would be to monitor for:
1. dark brown urine.
2. abdominal pain.
3. edema of the upper airway.
4. release of cortisol.
Answer: 3
1. Dark brown urine is not likely to occur with smoke or inhalation burn.
2. Abdominal pain is not the immediate result of an inhalation burn injury.
3. The nurse's priority of care is maintaining the airway. Irritation from smoke or burns will cause swelling that can cut off the client's airway.
4. The nurse will not see the release of cortisol, which is not an immediate concern for the client.
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