The new patient was in a motor vehicle trauma and sustained a blunt force blow to the chest from the steering wheel. He arrives at the ER with complaints of left sided chest pain on inspiration. He has dyspnea, pallor and his pulse ox is 88%. The rest of his VS PR 130, RR 28, and BP 160/94. The triage nurse understands to prioritize which interventions for this client?

A client is brought to the emergency department from the site of a chemical fire. The client suffered third-degree full-thickness burns. The new graduate registered nurse asks the preceptor what the expected burn area will involve. The nurse explains which expected findings for this type of burn? 

A client is admitted to the ED after being involved in a motor vehicle accident. The client has multiple injuries. After establishing an airway and adequate ventilation, the ED team should prioritize what aspect of care for a secondary survey?

The client has third degree burns over 50% of their body and is recovering in stable condition. The nurse places a diet order and includes which choice based on the client’s nutritional needs?

Which of the following assessments on a patient with MODS is indicative of failure occurring in the cardiovascular system?

The telemetry on your patient changes to the below strip due to cardiogenic shock, what is the nurse’s priority action?

The nurse recognizes that Multi Organ Dysfunction Syndrome (MODS) can occur in any patient with severe traumatic injuries or overwhelming sepsis. What two factors are always responsible for the pathophysiology involved in MODS?

A client with a partial-thickness burn injury had a xenograft applied. The family asks the nurse why the area looks so different from the patient’s skin. The nurse responds to the family with which statement? 

A nurse is caring for a client with second-degree burns monitors his stools for occult blood. What is the rationale for this action?

When assessing a client with partial-thickness burns over 60% of the body, which finding should the nurse report immediately?