A patient with a major burn becomes restless and has a hoarse voice with audible inspiratory noise. Oxygen saturation is 96% on a pulse oximeter. Which action should the nurse take?
Correct answer: C. Notify the team and prepare for early airway support
- A. Offer oral fluids to relieve throat dryness
- B. Place the patient flat and reassess later
- C. Notify the team and prepare for early airway support
- D. Apply petroleum gauze over the mouth and nose
Explanation
Hoarseness and inspiratory noise indicate developing upper-airway oedema, which can worsen rapidly after a burn. A normal pulse oximeter reading does not exclude inhalation injury, so early airway assessment and support take priority.
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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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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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