The assessment by the emergency department nurse most indicative that a burn patient might be at risk for respiratory impairment is:
1. burns on the face and neck.
2. respiration of 18.
3. flaring nares.
4. sooty sputum.
4
Sooty sputum is the most indicative. Facial burns and flaring nares are not conclusive in themselves. Respiration of 18 is normal.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1146
OBJ: 5 TOP: Burns: Respiratory Impairment
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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