A Patient Is Admitted to the Burn Unit with Burns

question 11

Multiple Choice

A patient is admitted to the burn unit with burns to the head,face,and hands. Initially,wheezes are heard,but an hour later,the lung sounds are decreased and no wheezes are audible. What is the best action for the nurse to take?

• A)Encourage the patient to cough and auscultate the lungs again.
• B)Notify the health care provider and prepare for endotracheal intubation.
• C)Document the results and continue to monitor the patient's respiratory rate.
• D)Reposition the patient in high-Fowler's position and reassess breath sounds.

---

Definitions:

Intra-Abdominal Bleeding

Internal bleeding within the abdominal cavity, which can be a life-threatening emergency requiring immediate medical attention.

Right Lower Quadrant

A section of the abdomen that is bounded by the median line and the right iliac crest, commonly associated with the location of appendicitis symptoms.

Palpate

To examine or explore by touching (an organ or area of the body), usually to diagnose a condition or determine the presence of something.

Auscultate

The process of hearing the body's internal noises, usually with the help of a stethoscope, during a medical check-up.