A nurse is caring for a client who has severe burns. History…
A nurse is caring for a client who has severe burns. History and Physical:0820:20-year-old client presents to the emergency department with severe burns. Client is grimacing and rates pain as 5 on a scale of 0 to 10. Patent airway. No increased work of breathing. Vital Signs:0820:Blood pressure 140/80 mm HgHeart rate 110/minRespiratory rate 25/minSaO2 98% on room airTemp 36.1° C (97° F) Assessment:2030:Client is screaming and crying in pain. Client reports pain as 10 on a scale of 0 to 10. Client is very anxious and is breathing rapidly. Patent airway. Lungs are clear to auscultation bilaterally. Select all that apply.