A patient with frostbite injury asks a nurse about what to expect during thawing. What should the nurse explain to the patient?
Paradoxical heat sensation
Permanent nerve damage
Immediate return to normal temperature
Swelling should be expected with thawing and frostbite injury
The Correct Answer is D
A. Paradoxical heat sensation:
This occurs in hypothermia, not typically during frostbite rewarming.
B. Permanent nerve damage:
While this is a possible complication of severe frostbite, it is not expected during thawing. The nurse should not prematurely alarm the patient with worst-case outcomes.
C. Immediate return to normal temperature:
Return of tissue temperature is gradual, and the affected area may remain cool for a while. Full recovery takes time.
D. Swelling should be expected with thawing and frostbite injury:
This is the accurate and expected response. Reperfusion causes inflammatory swelling, redness, and pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Schedule a follow-up appointment:
The patient is deceased - this action is irrelevant.
B. Ask the family about organ donation:
Organ donation may be discussed by designated personnel, but only after coroner notification if required. The nurse’s legal obligation is to report such deaths first.
C. Call the patient’s primary care physician:
This may be done later, but is not the legal priority in an unexpected or early ER death.
D. Call the coroner:
Unexplained or early deaths (especially within 24 hours of admission) must be reported to the coroner/medical examiner for investigation as required by law.
Correct Answer is B
Explanation
A. Furosemide:
This is a diuretic used for fluid overload, not helpful in anaphylactic shock.
B. Epinephrine:
Epinephrine is the first-line treatment in anaphylaxis. It reverses airway constriction, increases blood pressure, and reduces capillary permeability.
C. Dobutamine:
Dobutamine is a cardiac inotrope and not the first drug of choice in anaphylaxis.
D. Methylprednisolone:
This corticosteroid can help reduce inflammation, but it works slowly and is not suitable for emergency reversal. Administer only after epinephrine.
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