Question

The nurse in a burn intensive care unit (bicu) is caring for a 3-year-old boy who was burned with scalding hot water. he has burns covering 75 percent of his body. his condition is critical but stable. at 1000, the nurse reassesses the client and finds that he is agitated and pulling at his endotracheal tube. what would be the nurse's priority?

Answer 1

Nurse’s top nursing priority is to ensure that the endotracheal tube is secure. Collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria. The underlying pathophysiology and the correlations between humoral changes and organ function have not been well delineated.