Don Johnson is a 23-year-old client brought in by ambulance who was in a warehouse fire. The client was injured attempting to rescue a coworker. The client has sustained burns over part of their back, their right arm, and the right side of their face and ear. Most of the burns are superficial and partial thickness with a few small areas that may be full thickness. The client is alert and oriented x 3, PERRLA. Breath sounds clear. Oral mucosa pink and swallows without difficulty. Respiration rate and depth increased at 24/min. Peripheral pulses palpable in all extremities +2. The client has an 18-gauge IV of Lactated Ringer’s infusing at 450 mL/hr to left antecubital using the Parkland fluid resuscitation. Abdomen tender with palpation; active bowel sounds x 4 quadrants. Denies pain currently but moans and grimaces as though to be in pain. Reports feeling “very uncomfortable.” Vital signs are BP: 140/82 mm Hg; Pulse rate 114/min; Respirations 24/min; Temperature 37.3° C (99.2° F); SpO2: 98% on 8 L/min humidified oxygen via simple face mask. The client weighs 90 kg (198 lb). Which of the following concerns should the nurse address while providing client care? (Select all that apply.) Physiological: Fluid and Electrolyte Physiological: Pain Physiological: Thermoregulation Physiological: Comfort Physiological: Acid Base Physiological: Tissue Integrity Physiological: Gas Exchange Physiological: Intracranial regulation
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[Expert Solution]: Don Johnson is a 23-year-old client…