Question

A client who is being evaluated for thermal burn injuries to the arms and legs complains of thirst and asks the nurse for a drink. Which action by the nurse is most appropriate?

a.Allow the client to have full liquids.
b.Give the client small glasses of clear liquids.
c.Order the client a full meal tray with extra liquids.
d.Keep the client on NPO (nothing by mouth) status.

Answer 1

For a patient with thermal burns, the nurse should keep the client on NPO status. This is because fluid resuscitation usually starts with isotonic saline intravenously, and oral intake can be delayed until stability is assessed.

Step-by-step explanation:

The most appropriate action by the nurse when a client with thermal burn injuries to the arms and legs complains of thirst would be option d: Keep the client on NPO (nothing by mouth) status. Patients with severe burns may require specific treatments and assessments, such as fluid resuscitation, before oral intake is advisable. It is crucial to first ensure that the client's airway and breathing are not compromised and to establish intravenous access for administering fluids. In burn patients, particularly those with significant injuries or instability, oral intake is often delayed until fluid resuscitation is underway, and the risk of complications such as aspiration or ileus is assessed. When a dehydrated human patient needs fluids, they are typically given isotonic saline intravenously to maintain proper fluid and electrolyte balance.