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. Schizophrenia is a chronic mental health disorder not characterized by time-specific delirium.
B. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, often seen in patients with delirium or dementia.
C. Disordered thinking can be a symptom of many conditions but does not specifically describe time-related delirium.
D. Dementia is a chronic condition that can include sundowning but does not specifically describe this time-related agitation and confusion.
Correct Answer is D
Explanation
A. Orlaam is used for maintenance therapy in opioid dependence, not for acute overdose reversal.
B. Clonidine is used to manage withdrawal symptoms but does not reverse opioid overdose.
C. Methadone is used for maintenance therapy and withdrawal management but does not reverse an overdose.
D. Narcan (naloxone) is the drug of choice to reverse the effects of opioid overdose by displacing opioids from receptor sites.
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