A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing.Which action should the nurse take first?
A) Assess the level of consciousness and pupillary reactions.
B) Ascertain the time food or liquid was last consumed.
C) Auscultate breath sounds over the trachea and bronchi.
D) Measure abdominal girth and auscultate bowel sounds.
Correct Answer:
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