In burn victims, what is the priority nursing assessment?

In the care of burn victims, the priority nursing assessment focuses on airway patency, which is critical due to the potential for airway compromise. When a person suffers burns, especially in areas such as the face, neck, or chest, there is a significant risk of inhalation injury or swelling that can obstruct the airway. Smoke inhalation can also lead to respiratory distress and requires immediate attention.

Prioritizing airway patency ensures that any obstruction or swelling can be managed promptly, protecting the patient from life-threatening respiratory complications. Once the airway is secure, other assessments such as fluid volume status, temperature regulation, and wound care can be effectively addressed. This hierarchical approach aligns with the principles of trauma care, where the most life-threatening conditions are assessed and treated first.