The nurse arrives to the scene of a house fire. A victim is running out of the house, with flames on the arms. Which is the nurse's first action?
Transport victim to hospital.
Stop, drop, and roll.
Cover victim with clean cloth or sheet.
Remove all nonadherent clothing and jewelry.
The Correct Answer is B
A. Transport victim to hospital: While transport to the hospital is necessary, it is not the immediate priority when the victim is still on fire.
B. Stop, drop, and roll: The first action for someone whose clothing is on fire is to stop, drop, and roll to extinguish the flames and prevent further burns.
C. Cover victim with clean cloth or sheet: Covering with a clean cloth is important after the flames have been extinguished but not the first step when the victim is still burning.
D. Remove all nonadherent clothing and jewelry: Removing clothing and jewelry should be done after the flames are extinguished and initial care has been administered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is F
Explanation
A. Insert nasogastric tube: A nasogastric tube may be inserted early to prevent aspiration and manage gastric distension.
B. Initiate fluid therapy: Fluid therapy is crucial and initiated early to combat hypovolemic shock.
C. Insert Foley catheter: A Foley catheter is often inserted early to monitor urine output and assess renal function.
D. Establish airway: Establishing an airway is the highest priority intervention for burn victims, especially if there are signs of inhalation injury.
E. Administer analgesics: Pain management is crucial but is initiated early in the treatment process.
F. Tetanus prophylaxis: Tetanus prophylaxis is important to prevent infection but is typically administered after the immediate life-threatening issues have been addressed.
Correct Answer is B
Explanation
A. The darker the patient's skin, the easier it is to assess for color change. Darker skin can make it more challenging to assess color changes, such as pallor or cyanosis.
B. To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation. Palpation can help detect changes in texture and warmth, which might be less visible on darker skin.
C. Pallor in black-skinned individuals will appear as a pale pink color. Pallor in dark-skinned individuals often appears as an ashen or gray color, not pink.
D. Baseline skin color should be assessed in areas with the most pigmentation. Baseline skin color should be assessed in normally less pigmented areas like palms and soles for accurate assessment.
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