Which order should a nurse question for a client with a full-thickness burn injury?

In the context of managing a client with a full-thickness burn injury, the choice of medication administration route is critical for effective pain management. Full-thickness burns are known for causing severe pain and necessitate rapid pain relief measures.

Administering morphine sulfate intravenously is the preferred method for several reasons. IV administration allows for quick onset of medication action, which is essential as patients with full-thickness burns often experience acute and high levels of pain that need immediate management.

On the other hand, administering morphine sulfate via intramuscular (IM) injection would not be appropriate in this scenario. This route is less favorable because it typically has a slower onset of action compared to IV administration. In an acute care setting, especially in the presence of significant pain, providers prioritize interventions that can maximize patient comfort efficiently and effectively. Additionally, in clients with severe burns, circulation can be compromised or altered, potentially affecting drug absorption when given IM.

In contrast, acetaminophen and ibuprofen given orally are alternatives for pain management, but they are generally not suited for the immediate and intense pain associated with full-thickness burns. These medications might be used as adjunct therapies for mild to moderate pain rather than as the primary treatment in acute scenarios. Thus,