What is the nurse's priority intervention for a child with partial- and full-thickness burns of the lower extremities?

In the case of a child with partial- and full-thickness burns of the lower extremities, starting an intravenous line with a large bore catheter is the priority intervention. This is crucial because burn injuries can lead to significant fluid loss due to damage to the skin, which is essential for retaining fluids and electrolytes. Establishing a large bore IV access allows for the rapid administration of fluids and electrolytes, which is vital for preventing hypovolemic shock and maintaining adequate circulation.

In cases of burns, especially extensive ones, fluid resuscitation must begin as soon as possible to stabilize the child's condition. The current guidelines recommend aggressive fluid replacement in the initial hours post-burn injury based on the degree of burn and the total body surface area affected. Thus, establishing a large bore IV line is essential for effective and efficient management.

While administering oxygen, inserting a urinary catheter, and giving prescribed pain medication are important components of care, they follow the critical need for fluid resuscitation. Oxygen may be necessary in circumstances where the child shows signs of respiratory distress, but it is not an immediate priority like fluid resuscitation is. A urinary catheter may be required to monitor kidney function and output, but without first stabilizing the child's fluid status, this