When caring for a client with toxic epidermal necrolysis disorders that are life threatening, it is essential that the plan of care be prioritized correctly. The first priority should be:
1. Protection of airway.
2. Balanced fluid volume.
3. Effective thermoregulation.
4. Pain management.
Protection of airway.
Rationale: Although all the answer choices are important, protection of the airway and maintenance of normal oxygen levels is always the first priority. Edema and involvement of mucous membranes can compromise the airway. With epidermal necrolysis disorders, it is also important to monitor a client's hemodynamic status and electrolyte levels because there is epithelial skin loss. The client will also have acute pain because of the exposed nerve endings.
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