Following an explosion at a local chemical lab, several people have sustained burns and are now in the triage area.

Which patient should be attended to first?

A 33-year-old with burns to the back and shoulders.

A 32-year-old with burns on the hands and face.

A 42-year-old with burns on both legs.

A 25-year-old with a burn on the left arm.

Answer and Explanation

The Correct Answer is B

Choice A rationale
A 33-year-old with burns to the back and shoulders. While this patient’s injuries are serious, they are not immediately life-threatening. The back and shoulders are not vital areas, and while pain management and wound care will be necessary, this patient’s situation is not as urgent as others.
Choice B rationale
A 32-year-old with burns on the hands and face. This patient should be attended to first. Burns on the hands and face are more serious due to the high risk of infection and the potential for complications such as impaired breathing if the airway swells or becomes blocked due to the burns. Immediate treatment can help to prevent these complications.
Choice C rationale
A 42-year-old with burns on both legs. While these burns are serious, they are not immediately life-threatening. The patient will need pain management and wound care, and may have mobility issues, but their vital organs are not directly impacted by the burns.
Choice D rationale
A 25-year-old with a burn on the left arm. This patient, while in need of treatment, is not the highest priority. A burn on the arm, while painful and requiring treatment, is not as potentially serious or life-threatening as burns to the face, hands, or major portions of the body.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Based on the provided exhibits, here are the considerations for the provider’s prescriptions:

Test stools for occult blood:Anticipated. Given the client’s report of vomiting brown emesis, which could indicate gastrointestinal bleeding, testing stools for occult blood is a standard diagnostic approach to confirm or rule out bleeding.
Insert a nasogastric tube, attach to low suction:Anticipated. The client has vomited coffee ground emesis, which is a sign of possible upper gastrointestinal bleeding. A nasogastric tube can help decompress the stomach and remove any remaining blood or gastric contents.
Administer aspirin for abdominal pain:Contraindicated. Aspirin can exacerbate gastrointestinal bleeding, especially in a client with a history of GERD and current symptoms that may suggest a gastrointestinal bleed.
Initiate IV fluids:Anticipated. The client’s vital signs indicate tachycardia and hypotension, which, along with the clinical presentation, suggest volume depletion possibly due to vomiting and potential bleeding. IV fluids are necessary to maintain hemodynamic stability.

A. Epinephrine (Adrenaline). B. Dexamethasone (Decadron). C. 0.9% Normal Saline. D. Dobutamine (Dobutrex).

Correct Answer is A

Explanation

Choice A rationale
Epinephrine is the first-line treatment for anaphylactic shock. It works by constricting blood vessels to increase blood pressure, relaxing smooth muscles in the lungs to reduce wheezing and improve breathing, stimulating the heart, and reducing hives and swelling around the face and lips.
Choice B rationale
Dexamethasone is a corticosteroid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by reducing inflammation.
Choice C rationale
0.9% Normal Saline is a type of intravenous fluid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by increasing fluid volume in the body to help maintain blood pressure.
Choice D rationale
Dobutamine is a medication that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by stimulating the heart muscle to increase cardiac output, which can help maintain blood pressure.

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Following an explosion at a local chemical lab, several people have sustained burns and are now in the triage area. Which patient should be attended to first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client. Review the exhibits to answer the question. Exhibits For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

The nurse is reviewing orders for a patient in anaphylactic shock. Which medications should the nurse plan to administer first?

Correct Answer is A

Explanation

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Following an explosion at a local chemical lab, several people have sustained burns and are now in the triage area.

Which patient should be attended to first?