What is the first priority when a burn patient may have airway compromise?
Assess airway and breathing first, provide support as needed, and seek experienced airway help if deterioration is possible.
Study 3 Airway Management with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What is the first priority when a burn patient may have airway compromise?
Assess airway and breathing first, provide support as needed, and seek experienced airway help if deterioration is possible.
Why is hoarseness after an enclosed-space fire concerning?
Hoarseness after an enclosed-space fire raises concern for evolving upper-airway injury. Assess airway and breathing, give high-concentration oxygen, and prepare for possible early intubation.
What does stridor with increasing work of breathing indicate?
Stridor with increasing work of breathing suggests significant airway narrowing and warrants urgent definitive airway assessment and experienced support.
Do singed nasal hairs alone mean a burn patient needs intubation?
No. Singed hairs or facial burns alone do not automatically require intubation, but they call for careful assessment and repeated observation.
When can burn-related airway swelling worsen?
Airway swelling may worsen over time and during fluid resuscitation, so an initially reassuring assessment may not remain reassuring.
Why should airway and breathing be reassessed frequently after a burn?
Reassess airway and breathing frequently because swelling and airway findings can change after the initial assessment.
Does a normal pulse-oximeter reading rule out carbon monoxide poisoning?
No. Standard pulse oximetry may not distinguish carboxyhemoglobin from oxyhemoglobin, so a reassuring reading does not rule out carbon monoxide poisoning.
Should oxygen wait until carbon monoxide test results are available?
Give oxygen when carbon monoxide poisoning is suspected; do not wait for test results before providing it.
How should a stable patient with soot in the mouth be managed?
Provide oxygen as indicated, arrange evaluation and burn-center consultation, and monitor closely for change. Soot alone does not establish a need for immediate intubation.
What is the priority when swelling increases before a prolonged transfer?
Reassess the airway, urgently consult experienced airway and burn-care teams, and consider securing the airway before deterioration makes management more difficult.
When is prompt burn-center consultation warranted?
Suspected inhalation injury warrants prompt burn-center consultation, especially when airway deterioration is possible.
What comes first when a burn patient becomes less responsive with noisy breathing?
Address airway patency and oxygenation, call for advanced airway assistance, and assess breathing before continuing the secondary survey.
A medium-difficulty quiz on applying person-centred principles of fundamental care, including dignity, choice, safety, independence, infection prevention, and observation.
A 14-question quiz on coordinating care, supporting safe transitions, and maintaining continuity across providers and settings.
A medium-difficulty quiz on generating plausible hypotheses, comparing urgency and risk, explaining priorities, and revising them as patient cues change.
Learn how to develop plausible explanations from clinical cues, rank problems by urgency and risk, and revise priorities as a patient's condition changes.
Review how to assess patients, recognize changes, respond to pain, and communicate findings clearly.
Learn how to verify a patient’s identity safely before care, what to do when information does not match, and how to proceed when a patient cannot confirm their identity.
Learn how to compare plausible explanations for a client’s findings and prioritize the concern that poses the greatest immediate risk.
Learn how to provide respectful, individualized assistance with daily activities while supporting safety, comfort, independence, and early recognition of changes.
A medium-difficulty quiz on setting measurable patient goals and selecting, implementing, and evaluating interventions that address the priority problem.
Learn how to support safe, comfortable, and independent toileting, provide elimination and skin care, and recognize changes that require reporting or urgent attention.
Learn how to implement safe, prioritized nursing interventions, respond to deterioration, communicate concerns, and reassess patient outcomes.
Practice applying the NGN clinical judgment steps, using common item formats, and interpreting client changes.