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A nurse arrives at an accident scene where the victim has just received an electrical burn. Which is the nurse's primary concern?

A.

The sites of entry and exit

B.

Control of bleeding

C.

The likelihood of cardiac arrest

D.

The extent and depth of the burn

Answer and Explanation

The Correct Answer is C

A. The sites of entry and exit: While important for assessing burn severity, immediate concern is not the primary issue.
B. Control of bleeding: Electrical burns do not typically cause significant external bleeding.
C. The likelihood of cardiac arrest: Electrical burns can cause cardiac arrhythmias or arrest, making this the primary concern.
D. The extent and depth of the burn While important for treatment, the immediate concern is cardiac arrest.
 


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Related Questions

Correct Answer is A

Explanation

A. Delirium: Delirium is characterized by acute confusion, disorientation, and altered mental status often due to severe infection or high fever.

B. Psychotic break: While hallucinations are a symptom, a psychotic break is generally a chronic mental health condition rather than an acute response to infection.

C. Possible stroke: Stroke symptoms usually involve sudden onset of neurological deficits rather than fever and hallucinations.

D. Anxiety disorder: Anxiety disorders do not typically cause such high fevers or acute hallucinations.

Correct Answer is A

Explanation

A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.

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