A client with extensive electrical burn injuries is admitted to the emergency department. Which prescribed intervention should the nurse implement first?

Assess oral temperature.

Place on cardiac monitor.

Check a potassium level.

Assess for pain at contact points.

Answer and Explanation

The Correct Answer is B

A. Assessing oral temperature is not a priority immediately after an electrical burn, as the focus should be on monitoring for cardiac issues and other life-threatening conditions.

B. Electrical burns can cause cardiac arrhythmias, including dysrhythmias like ventricular fibrillation, which can be life-threatening. The nurse should place the client on a cardiac monitor immediately to detect any abnormal rhythms and respond accordingly.

C. While checking potassium levels is important for assessing potential complications such as kidney damage or arrhythmias, cardiac monitoring should take precedence.

D. Assessing for pain at contact points is important, but it is secondary to ensuring cardiac stability in an electrical burn victim.

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Correct Answer is A

Explanation

A. Gonorrhea and chlamydia often coexist in individuals, and doxycycline is prescribed to treat chlamydia in addition to ceftriaxone for gonorrhea. Treating both infections is crucial to reduce the risk of complications and reinfection.

B. While ceftriaxone is effective against N. gonorrhoeae, doxycycline is used to treat chlamydia, not to eradicate resistant strains of gonorrhea.

C. Reinfection during treatment can be minimized with both medications, but the primary purpose of doxycycline is to treat a possible co-infection with chlamydia.

D. This combination therapy does not primarily aim to prevent the development of resistant organisms but to treat both infections effectively.

A. "I will avoid sources of strong electromagnetic fields." B. "Now I can discontinue my antidysrhythmic medication." C. "I would participate in a strenuous exercise program." D. "I would wear a snug-fitting shirt over the ICD."

Correct Answer is A

Explanation

A. Clients with ICDs should avoid strong electromagnetic fields, which can interfere with the device’s function. This is crucial for safety.

B. Discontinuing antidysrhythmic medication is not recommended unless instructed by the healthcare provider, as it could increase the risk of arrhythmias.

C. Strenuous exercise may be too strenuous for someone with an ICD and could increase the risk of arrhythmias or lead to ICD activation.

D. A snug-fitting shirt is generally not recommended because it may place pressure on the ICD site and cause discomfort.

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A client with extensive electrical burn injuries is admitted to the emergency department. Which prescribed intervention should the nurse implement first?

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