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NCLEX-RN · Question #753
NCLEX-RN Question #753: Real Exam Question with Answer & Explanation
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Question
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 24-48 hours postburn?
Options
- APain related to tissue damage from burns
- BPotential for infection related to contamination of wounds
- CFluid volume deficit related to increased capillary permeability
- DPotential for impaired gas exchange related to edema of respiratory tract
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