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.
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Related Questions
Correct Answer is D
Explanation
A. Shock is a concern immediately after the burn injury due to fluid loss but is less likely after the initial 72 hours.
B. Hemorrhage is not a common cause of death following burns unless associated with a traumatic injury.
C. Respiratory arrest: Respiratory complications are a concern, but infection remains the leading cause of death post-72 hours.
D. Infection: After the first 72 hours, infection becomes the most common cause of burn-related deaths due to the compromised skin barrier and potential for sepsis.
Correct Answer is B
Explanation
A. Heart attacks due to increased effort to ambulate: While heart attacks are a concern, they are not directly related to musculoskeletal changes and posture.
B. Falls related to posture changes: Age-related changes such as decreased muscle mass and changes in posture increase the risk of falls.
C. Fractures due to poor uptake of calcium: While decreased calcium absorption can lead to fractures, age-related musculoskeletal changes like posture and muscle weakness are more directly linked to fall risk.
D. Respiratory failure due to kyphosis: Kyphosis can impact respiratory function, but the most direct risk from musculoskeletal changes in older adults is falls.
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