The nurse is caring for a client 48 hours after acquiring thermal burns. The client has a respiratory rate of 14 breaths per minute, temperature of 99°F (37.2°C), and oxygen saturation of 97%. Which nursing intervention is appropriate for this client? Select all that apply.

Question

Quizplus · Accepted Answer

Maintaining strict input and output is crucial for a burn patient to monitor fluid balance. Applying topical antimicrobial agents helps prevent infection in the burn areas. Monitoring the client's pain level is essential for appropriate pain management. Administering 100% oxygen is not indicated based on the client's normal oxygen saturation of 97%, and administering acetaminophen for a temperature of 99°F (37.2°C), which is not considered a fever, may not be necessary.

The Nurse Is Caring for a Client 48 Hours After