A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

Change dressings over the entrance and exit wounds.

Obtain an ECG.

Administer an opioid pain medication.

Titrate IV fluids to maintain urine output at 75 mL/hr.

Answer and Explanation

The Correct Answer is B

A.   Changing dressings is important but not the priority over assessing cardiac status in an electrical shock injury.
B.   Obtaining an ECG is the priority to assess for any cardiac dysrhythmias, which can be immediate and life-threatening consequences of electrical shock injuries.
C.   Administering pain medication can be done once the client's cardiac status has been evaluated and stabilized.
D.   While maintaining adequate urine output is important, assessing cardiac status takes precedence.

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Correct Answer is B

Explanation

A. While wound infection prevention is important, the elastic bandage primarily addresses edema control.
B. Maintaining an elastic bandage around the residual limb helps to compress soft tissues and minimize edema, promoting healing and aiding in the shaping of the residual limb for future prosthesis fitting.
C. The purpose of the elastic bandage is not related to preventing the client from seeing the surgical site.
D. The elastic bandage is not primarily used to secure sutures; its main purpose is edema control.

A. Frequent diarrhea B. Urinary hesitancy C. Unexplained weight gain D. Painless vaginal bleeding

Correct Answer is D

Explanation

A. Frequent diarrhea is not typically associated with cervical cancer.

B. Urinary hesitancy is more commonly associated with prostate issues in males rather than cervical cancer in females.
C. Unexplained weight gain is not typically a symptom of cervical cancer.

D. Painless vaginal bleeding, especially after intercourse or between periods, can be a sign of cervical cancer. It's essential for individuals to seek medical evaluation if they experience any abnormal bleeding.

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A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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