The nurse is caring for a patient admitted to the burn unit with burns to 45% of the body. After 3 days, the nurse notes that the patient's temperature is newly elevated at 100.2°F (37.9°C), and the patient exhibits new-onset agitation and confusion. What should the nurse do first?

Question

Quizplus · Accepted Answer

Elevated temperature and new-onset agitation and confusion could be signs of infection, which is common in burn patients. The nurse should notify the RN or physician promptly, as the patient may require further assessment and treatment. Monitoring for changes in mental status and increasing fluids may also be appropriate interventions, but notifying the RN or physician is the priority in this situation. Administering acetaminophen may help lower the temperature, but the underlying cause of the fever should be addressed first.

The Nurse Is Caring for a Patient Admitted to the Burn