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The Nurse Is Caring for a Patient in the Initial

Question 13

Multiple Choice

The nurse is caring for a patient in the initial phase of treatment for a partial-thickness burn. The patient has been stabilized, with blood pressure 140/88 mm Hg, pulse 78 beats/min, respirations 22 breaths/min, and temperature 97.4°F (36.3°C) . Which new assessment finding should be immediately communicated to the RN or physician?


A) Blood pressure 122/74 mm Hg
B) Temperature 99°F (37.2°C)
C) Report of increasing pain
D) Serum-filled blister formation

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