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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Take her blood pressure twice a day to check for hypertension. Lithium does not typically cause hypertension. Monitoring blood pressure is not a primary concern for patients on lithium.
B. Have her drug blood level checked every month. Regular monitoring of lithium blood levels is crucial to ensure therapeutic levels and avoid toxicity. Lithium has a narrow therapeutic window, and frequent monitoring helps in adjusting the dose to maintain safe and effective levels.
C. Avoid aged cheese and red wine. This advice is relevant for patients taking MAOIs, not lithium. There is no need for patients on lithium to avoid these foods specifically.
D. Examine her skin closely for eruptions. While skin eruptions can be a side effect of some medications, it is not a primary concern for patients on lithium. The focus should be on monitoring for signs of lithium toxicity and other common side effects like tremors, thyroid dysfunction, and renal impairment.
Correct Answer is C
Explanation
A. 12 or younger: While early onset is a risk factor, it is not as predictive as ages slightly older, where patterns of behaviour are more established.
B. 10 or younger: Very early onset is a risk factor but is less common and less studied.
C. 14 or younger: Research shows that starting alcohol consumption at 14 or younger significantly increases the risk of developing alcohol addiction.
D. 8 or younger: While extremely early onset is concerning, it is less predictive than slightly older ages due to the rarity and less data available.
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