What nursing assessment and care holds the highest priority in the initial care of a child with a major burn injury?
a. Establishing and maintaining the child's airway
b. Establishing and maintaining intravenous access
c. Inserting a catheter to monitor hourly urine output
d. Inserting a nasogastric tube into the stomach to supply adequate nutrition
A
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A Establishing and maintaining the child's airway is always the priority focus for
assessment and care.
B Establishing intravenous access is the second priority in this situation, after the
airway has been established.
C Inserting a catheter and monitoring hourly urine output is the third most
important nursing intervention.
D Nasogastric feedings are not begun initially on a child with major or severe
burns. The initial assessment and care focus for a child with major burn injuries
is the ABCs.
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