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Unfolding Case Study BurnScenarioYou are working in the emergency department (ED) of a community hospital when the ambulance arrives with A.N., an 18-year-old woman who was caught in a house fire. She was sleeping when the fire started and managed to make her way out of the house through thick smoke. The emergency medical system crew initiated humidified oxygen at 15 L/min per nonrebreather mask and started a 16-gauge IV with lactated Ringer's solution. On arrival to the ED, her vital signs are 100/66, 125, 34, SaO293%. An additional 16-gauge IV is inserted. She appears anxious and in pain.1.As you perform your initial assessment, you note superficial partial-thickness burns onA.N.'s right anterior leg, left anterior and posterior leg, and anterior torso. Shade theaffected areas, then using the “rule of nines,” calculate the extent of A.N.'s burn injury.
2. Because you are concerned about possible smoke inhalation, what signs will you monitorA.N. for?ABGChart ViewLaboratory Test ValuesHgb 20 g/dLHct 51%K 4.9 mEq/dLNa 133 mEq/dLCl 100 mEq/dLGlu 159 mg/dLBUN 28 mg/dLCreat1.0 mg/dL