Moderate

A patient rescued from a house fire has headache, confusion, and a normal pulse oximeter reading. Which test or treatment should the nurse anticipate first?

Correct answer: A. Administer oxygen at a high concentration

  • A. Administer oxygen at a high concentration
  • B. Apply a non-rebreather mask only if cyanosis occurs
  • C. Encourage oral fluids and observe the patient
  • D. Place the patient flat and restrict oxygen therapy

Explanation

Carbon monoxide reduces oxygen delivery even when pulse oximetry appears normal. High-concentration oxygen helps displace carbon monoxide from haemoglobin; cyanosis is not a reliable early sign.

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About Burns and Trauma Nursing

Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.

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