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The Nurse Is Admitting a Client to the Burn Unit

Question 7

Multiple Choice

The nurse is admitting a client to the burn unit who has burns to the upper body and head after a garage fire. Initially, wheezes are heard, but an hour later, the lung sounds are decreased and no wheezes are audible. Which of the following actions should thenurse implement first?


A) Encourage the client 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 client's respiratory rate.
D) Reposition the client in high-Fowler's position and reassess breath sounds.

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