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A nurse in the emergency department is caring for a client who has deep partial-thickness burns over 30% of his body, including his upper chest and abdomen

Nursing

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A nurse in the emergency department is caring for a client who has deep partial-thickness burns over 30% of his body, including his upper chest and abdomen. Which of the following actions is the nurse's priority
Insert an 18-gauge IV catheter
-Administer tetanus toxoid
-Check the client's mouth for black particle
-Remove client's burn clothing