What is the priority risk for a client with extensive burns of the head, neck, and chest?

In the case of a client with extensive burns of the head, neck, and chest, the priority risk is airway obstruction. Burns in these areas can lead to significant swelling and edema, which can quickly compromise the airway. The head and neck are particularly critical because they house the trachea and major blood vessels. Inflammation from the burns can result in narrowing of the airway passages, making it difficult for the client to breathe.

Additionally, the risk of airway compromise is heightened due to the potential for smoke inhalation or aspiration of harmful substances, especially in cases of fire-related burns. Therefore, ensuring a patent airway is the top priority in burn management, as airway obstruction can lead to hypoxia and respiratory failure if not addressed promptly.

While infection is a serious concern with burns due to skin barrier loss, it typically becomes a more pressing issue after immediate threats to life, such as airway compromise, have been managed. Fluid imbalance is also significant in burn patients, given the risk of hypovolemic shock due to fluid loss. However, without a clear airway, the client cannot adequately receive oxygen, making airway obstruction the most critical priority. Paralytic ileus, while a concern due to stress and decreased bowel perfusion, is not an immediate