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The Nurse Is Providing Care for a Patient Admitted to the Burn

Question 14

Multiple Choice

The nurse is providing care for a patient admitted to the burn unit with burns to 45 percent 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. Which action does the nurse take first?


A) Increase oral fluids to 3,000 mL/day.
B) Notify the registered nurse (RN) or HCP.
C) Monitor the patient for further changes in mental status.
D) Administer a prn dose of acetaminophen (Tylenol) for the fever.

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