A nurse arrives at an accident scene where the victim has just received an electrical burn. Which is the nurse's primary concern?
The sites of entry and exit
Control of bleeding
The likelihood of cardiac arrest
The extent and depth of the burn
The Correct Answer is C
A. The sites of entry and exit: While important for assessing burn severity, immediate concern is not the primary issue.
B. Control of bleeding: Electrical burns do not typically cause significant external bleeding.
C. The likelihood of cardiac arrest: Electrical burns can cause cardiac arrhythmias or arrest, making this the primary concern.
D. The extent and depth of the burn While important for treatment, the immediate concern is cardiac arrest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is F
Explanation
A. Insert nasogastric tube: A nasogastric tube may be inserted early to prevent aspiration and manage gastric distension.
B. Initiate fluid therapy: Fluid therapy is crucial and initiated early to combat hypovolemic shock.
C. Insert Foley catheter: A Foley catheter is often inserted early to monitor urine output and assess renal function.
D. Establish airway: Establishing an airway is the highest priority intervention for burn victims, especially if there are signs of inhalation injury.
E. Administer analgesics: Pain management is crucial but is initiated early in the treatment process.
F. Tetanus prophylaxis: Tetanus prophylaxis is important to prevent infection but is typically administered after the immediate life-threatening issues have been addressed.
Correct Answer is B
Explanation
A. A furuncle (boil) is a deeper infection involving a hair follicle and surrounding tissue, but it is not the term for a simple follicle infection.
B. Folliculitis is the term for an infection of the hair follicle.
C. A felon is an infection of the fingertip or pulp, not the hair follicle.
D. A carbuncle is a cluster of furuncles (boils) that form a larger, deeper infection, rather than a simple follicle infection.
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