What is the last intervention for a hospitalized severely burned victim during the emergent phase?

Insert nasogastric tube.

Initiate fluid therapy.

Insert Foley catheter.

Establish airway.

Administer analgesics

Tetanus prophylaxis

Answer and Explanation

The Correct Answer is F

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.

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Correct Answer is C

Explanation

A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.

B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.

C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.

D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.

A. "You will need to drink lots of water." B. "Did you know that St. John's wort can raise your blood pressure dramatically?" C. "That is a great idea. Alternative therapies can be very helpful." D. "You will feel better sooner if you include phenylalanine."

Correct Answer is B

Explanation

A. "You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.

B. "Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.

C. "That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.

D. "You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.

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What is the last intervention for a hospitalized severely burned victim during the emergent phase?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

Correct Answer is C

Explanation

A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?

Correct Answer is B

Explanation

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