The nurse is assessing a client with severe burn wounds. What are the nursing interventions performed by the nurse in the order of priority?

The correct order of priority for assessing a client with severe burn wounds reflects the critical aspects of the ABCs of life support: Airway, Breathing, and Circulation.

Initially, ensuring a patent airway is essential, especially in cases of severe burns where there could be inhalation injuries or airway edema. Compromised airways can quickly lead to respiratory failure, making this the foremost priority.

Next, the focus shifts to circulation. This involves evaluating the client's blood flow and response to any potential hypovolemia resulting from fluid loss due to burns. Maintaining adequate circulation is vital for tissue perfusion and preventing shock.

Following these priorities, fluid resuscitation is a crucial intervention for burn patients. Burn injuries can result in significant fluid loss, so prompt and effective fluid replacement is necessary to stabilize the patient.

Lastly, wound care is important but is addressed after the ABCs and fluid resuscitation have been attended to. Proper wound management is crucial for preventing infection and promoting healing, but it takes a lower priority compared to the immediate threats to life posed by airway and circulation issues.

Thus, the sequence of airway, circulation, fluid, and wound management reflects a systematic approach to ensuring the client’s immediate safety and stability.