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 B

Explanation

A. Certain antihistamines can worsen urinary retention in BPH, so informing the allergist is a good practice.

B. Alcohol, including wine, can worsen the symptoms of BPH by increasing urinary retention and bladder discomfort. The client needs further teaching regarding the effects of alcohol on BPH symptoms.

C. It is advisable to avoid large volumes of fluids in the morning, as this can exacerbate BPH symptoms.

D. Caffeine can irritate the bladder and worsen BPH symptoms, so weaning off coffee is a helpful measure.

A. Measurement of abdominal girth B. Auscultation of any area in the abdomen C. Palpation of the abdominal midline area D. Observation of abdominal wall movement

Correct Answer is C

Explanation

A. Measuring abdominal girth can help monitor the aneurysm.

B. Auscultation is safe and may reveal bruits associated with aneurysms.

C. Palpation of the abdominal midline area is dangerous and can risk rupturing the aneurysm, requiring further education.

D. Observation is non-invasive and safe.

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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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