A client who is admitted after a thermal burn injury has the following vital signs: blood pressure,70/40; heart rate,140 beats/min; and respiratory rate,25 breaths/min.He is pale,and it is difficult to find pedal pulses.Which action does the nurse take first?

Question

Quizplus · Accepted Answer

Hypovolemic shock is a common cause of death in the emergent phase of clients with serious injury.Fluids can treat this problem.ECG and CBC will be taken to ascertain whether a cardiac or bleeding problem is causing these vital signs.However,these are not actions that the nurse would take immediately.Checking pulses would indicate perfusion to the periphery,but this is not an immediate nursing action.

A Client Who Is Admitted After a Thermal Burn Injury