hard · NCLEX-RN Physiological Adaptation
The nurse reviews the initial emergency department assessment. Which findings are immediately relevant and require priority monitoring for progressive life- or limb-threatening complications? Select all that apply.
- Singed nasal hairs and a hoarse voice
- Circumferential dark brown eschar on the left upper extremity
- Blistered, weeping burns on the anterior chest and right upper extremity
- Heart rate of 112 beats/minute
- Initial urine output of 50 mL of dark amber urine
- Body weight of 80 kg
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