question archive 39- A client who experienced partial-thickness burns with over 50% body surface area (BSA) 2 weeks ago has several open wounds and develops watery diarrhea

39- A client who experienced partial-thickness burns with over 50% body surface area (BSA) 2 weeks ago has several open wounds and develops watery diarrhea

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39- A client who experienced partial-thickness burns with over 50% body surface area (BSA) 2 weeks ago has several open wounds and develops watery diarrhea. The client's blood pressure is 82/40 mmHg and temperature   96 F (36.6 C). Which action is most important for the nurse to take?

a.     Increase the room temperature.

b.     Assess the oxygen saturation.

c.     Continue to monitor vital sign.

d.     Notify the rapid response team.

 

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