WhatÂ is the nurseâ€™s best action?

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The client, who is 2 weeks postburn with a 40% deep partial-thickness injury, still has open wounds. On taking the morning vital signs, the client is found to have a below-normal temperature, is hypotensive, and has diarrhea.

Asked by RN pedia, Last updated: Nov 11, 2024

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RN pedia

Answered Oct 17, 2018

Notify the burn emergency team.

These findings are associated with systemic gram-negative infection and sepsis. This is a medical emergency and requires prompt attention. DIF: Cognitive Level: Application or higher TOP: Nursing Process Step: Implementation/Intervention MSC: Client Needs Category: Safe, Effective Care Environment;