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A Nurse Assesses Bilateral Wheezes in a Client with Burn

Question 20

Multiple Choice

A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth.Four hours later the wheezing is no longer heard.Which action should the nurse take?


A) Document the findings and reassess in 1 hour.
B) Loosen any constrictive dressings on the chest.
C) Raise the head of the bed to a semi-Fowler's position.
D) Gather appropriate equipment and prepare for an emergency airway.

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