What is the next action for a nurse when a client with burns in the mouth and wheezing shows no wheezing after several hours?

For a client with burns in the mouth and wheezing, the initial concern is the potential for airway compromise due to thermal injury and inhalation of heated or toxic fumes. Wheezing can indicate bronchospasm, which may improve with time or treatment, but the absence of wheezing after several hours doesn’t necessarily mean that the airway is secure.

Preparing for intubation is a critical step because several factors in burn cases can lead to rapid deterioration of airway status. Even if the wheezing has decreased, the risk of airway edema developing or other complications remains high. Intubation is a precautionary measure, especially in cases with facial burns or inhalation injuries, where an emergency can arise unexpectedly.

Taking steps such as ensuring that the patient is in a high-fowler's position, documenting findings, or any other intervention may not address the immediate risk of airway obstruction effectively. In a life-threatening scenario like this one, prioritizing airway management through preparation for intubation is crucial to ensure that the patient is protected against any sudden changes that could lead to respiratory distress.