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A young boy is brought to the trauma unit with a chemical burn to the face. Priority assessment would include which of the following?

1. Skin integrity
2. Blood pressure and pulse
3. Patency of airway
4. Amount of pain

Explanation

A burn involving the face, neck, or chest may cause airway closure because of the edema that occurs within hours. Remember the ABCs: airway, breathing, and circulation. Airway always comes first, even before pain. The nurse will also assess skin integrity (option 1), blood pressure and pulse (option 2), and pain (option 4), but these are not the highest priority assessments. Remember the ABCs (airway, breathing, circulation). Airway is a key priority in questions.

Contributor

Andrew
Member since: April 2011
(Boynton Beach,FL) Original question source

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Topics: Adult Health: Integumentary, Nursing Process: Assessment

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