What is the nurses priority action

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Problem

Partial and full-thickness burns to chest and heart. Soot observed around nares. Temperature 99.8 F, heart rate 126, respiratory rate 14 with inspiratory wheezes auscultated, blood pressure 170/96, oxygen saturation 90% on 6 L via non-rebreather mask. Reports pain in right hip and a headache. Client has had no urine output. A client is in the emergency department after sustaining partial and full-thickness burns to the chest and neck after a house fire. After reviewing the transport report, what is the nurse's priority action?

Reference no: EM133781373

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