Assessing the level of consciousness is the priority nursing action in the client with stroke and who is transitioned from ED to other settings.
In their interactions with patients and families, nurses frequently gain knowledge essential to effective transition planning. By creating and assessing the transition plan and detecting and communicating obstacles to the plan, they play a crucial role in facilitating effective transitions. Priority one is still respiratory and fluid status. For the first several days following the burn, check peripheral pulses periodically for signs of reduced blood flow. Keep a close eye on the patient's hourly fluid intake and output, blood pressure, and heart rate; any abnormalities should be immediately reported to the burn surgeon.
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