A client with facial burns develops sudden difficulty breathing and stridor. What is the highest priority action?

• A. Administer intravenous antibiotics
• B. Call for assistance and prepare for possible intubation
• C. Document findings
• D. Increase intravenous fluids

Answer: (B)

Securing the airway is the top priority. Facial burns with sudden difficulty breathing and stridor point to potential upper airway edema from inhalation injury, which can progress rapidly to complete obstruction. Because airway compromise can deteriorate quickly, the immediate action is to get help and be ready to intubate so a skilled team and the necessary equipment are available now. Providing oxygen and having suction ready are part of this prompt airway support.

Antibiotics aren’t the immediate need here; they don’t address an acute airway obstruction. Documentation can wait until the airway is stabilized, and while fluid resuscitation is crucial in burn care, it does not prevent an emergent airway failure and would come after securing the airway.