A client is brought to the community health clinic after he was rescued from a burning building. The client has minor burns on 20% of his head and neck. What is the priority nursing intervention for this client?
A) Dress the burns with salve.
B) Wrap the burns with sterile bandages.
C) Monitor the client's respiratory status.
D) Insert a feeding tube before edema sets in.
C
Feedback:
Smoke inhalation is often the cause of death for clients who do not have noticeable external burns. The nurse should carefully monitor the client's respiratory status, including the rate and depth of respirations. Individuals who have head and neck area burns should especially be monitored closely because such individuals are more likely to have respiratory damage. Salve should not be placed on the burns and a feeding tube would not be inserted unless deemed necessary. Burns may be wrapped, but this is not the priority intervention for this client.
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