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.
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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Related Questions
Correct Answer is C
Explanation
A. Nuclear medicine scan is less commonly used for diagnosing gastric pain and dyspepsia.
B. Magnetic resonance imaging (MRI) is not the first choice for gastrointestinal issues.
C. Esophagogastroduodenoscopy (EGD) allows direct visualization of the upper GI tract, making it the most accurate diagnostic tool.
D. Abdominal arteriogram is typically used for vascular issues, not for diagnosing dyspepsia or gastric pain.
Correct Answer is B
Explanation
A. P wave touching the T wave can indicate an issue but is less urgent than chest pain.
B. Midsternal chest pain could indicate myocardial ischemia or infarction, requiring immediate intervention.
C. Increased urine output is not an urgent concern in this context.
D. Mild orthostatic hypotension is not as urgent as chest pain.
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