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 A
Explanation
A. Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.
Correct Answer is A
Explanation
A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.
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