What should a nurse do if a burn client shows signs of shock with very low blood pressure?

When a burn client presents signs of shock, particularly with very low blood pressure, the priority is to restore adequate circulation and volume. Administering intravenous fluids is critical in this scenario as burns can cause significant fluid loss due to damage to blood vessels and the inflammatory response. By starting an IV fluid line, the nurse can quickly administer fluids to help stabilize blood pressure, improve tissue perfusion, and prevent further complications related to shock.

While pain management, emotional support, and preparing for surgery are important components of comprehensive burn care, they do not address the immediate life-threatening situation presented by low blood pressure and shock. In cases of shock, rapid and effective fluid resuscitation takes precedence to ensure the client's survival and promote recovery. Thus, starting an intravenous fluid line directly addresses the most critical need in this situation, making it the most appropriate intervention.