Initial Burn Management and Airway Care · NCLEX Exam

What should be the nurse's priority for a patient arriving after a house fire with facial burns, singed nasal hairs, and hoarseness of voice?

  1. Begin fluid resuscitation first and defer any airway assessment
  2. Assess for inhalation injury and prepare for early airway protection or intubation
  3. Apply antibiotic cream to the facial burns and observe overnight
  4. Complete wound dressing of the burns before assessing the airway
Show answer and explanation

Correct answer: Assess for inhalation injury and prepare for early airway protection or intubation

Facial burns, singed nasal hairs, hoarseness, and enclosed-space exposure are high-risk for airway compromise; early airway assessment and potential intubation are critical before edema closes the airway.

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