Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

A client has burns to his face, ears, and eyelids. What is the priority finding for the nurse to report to the provider?

  • A. Urinary output of 25 mL/hr
  • B. Difficulty swallowing
  • C. Heart rate of 122/min
  • D. Pain level of 6 on a scale of 0 to 10
Correct Answer: B

Rationale: The correct answer is B: Difficulty swallowing. This is the priority finding to report because burns to the face, ears, and eyelids can lead to swelling, which can compromise the airway and cause difficulty swallowing or breathing. This finding indicates a potential airway obstruction, which requires immediate intervention to ensure the client's airway remains patent.

Incorrect choices:
A: Urinary output of 25 mL/hr - While monitoring urinary output is important, it is not the priority in this situation.
C: Heart rate of 122/min - An elevated heart rate can be a response to pain and stress, but it is not the priority over airway concerns.
D: Pain level of 6 on a scale of 0 to 10 - Pain management is important but not as critical as ensuring airway patency in this scenario.