The nurse is caring for a client who has just been admitted to the nursing unit after receiving flame burns to the face and chest. The nurse notes a hoarse cough, and the client is expectorating...


The nurse is caring for a client who has just been admitted to the nursing unit after receiving flame burns to the face and chest. The nurse notes a hoarse cough, and the client is expectorating sputum with black flecks. The client suddenly becomes restless and his color is becoming dusky. Based on this data, which interpretation should the nurse make?


 1. The client is hypotensive. 2. Pain is present from the burn injury. 3. The burn has probably caused laryngeal edema, which has occluded the airway. 4. The client is afraid and is having a panic attack as a result of the unfamiliar surroundings.



May 25, 2022
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