A client who is burned is drooling and is having difficulty swallowing.Which action does the nurse take first?

Question

Quizplus · Accepted Answer

Inhalation injuries are present in 7% of clients admitted to burn centers.Drooling and difficulty swallowing can mean that the client is about to lose his airway because of this injury.Absence of breath sounds over the trachea and mainstem bronchi indicates impending airway obstruction and demands immediate intubation.Knowing the level of consciousness is important in assessing oxygenation to the brain.Ascertaining the time of last food intake is important,in case intubation is necessary (the nurse will be more alert for signs of aspiration).However,assessing for air exchange is the most important intervention at this time.Measuring abdominal girth is not relevant in this situation.

A Client Who Is Burned Is Drooling and Is Having