What is the last intervention for a hospitalized severely burned victim during the emergent phase?

Insert nasogastric tube.

Initiate fluid therapy.

Insert Foley catheter.

Establish airway.

Administer analgesics

Tetanus prophylaxis

Answer and Explanation

The Correct Answer is F

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.

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Correct Answer is C

Explanation

A. Conversion: Conversion involves a psychological conflict being expressed as physical symptoms, which does not fit the patient's response.

B. Repression: Repression involves unconsciously blocking out unpleasant thoughts or memories, which is not evident in the patient’s response.

C. Denial: Denial involves refusing to accept reality or facts, which fits the patient’s statement that the candy won’t affect their blood sugar levels.

D. Regression: Regression involves reverting to earlier developmental stages or behaviors, which does not apply to this situation.

A. Dermis B. Superficial fascia C. Epidermis D. Loose connective tissue

Correct Answer is D

Explanation

A. Dermis. The dermis contains connective tissue, blood vessels, and other structures but not melanocytes.
B. Superficial fascia. The superficial fascia, or hypodermis, is primarily composed of fat and connective tissue and does not contain melanocytes.
C. Epidermis. Melanocytes are located in the basal layer of the epidermis, where they produce melanin.
D. Loose connective tissue. Loose connective tissue is found in various parts of the body but does not contain melanocytes responsible for skin pigmentation.

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What is the last intervention for a hospitalized severely burned victim during the emergent phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?

Correct Answer is C

Explanation

Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?

Correct Answer is D

Explanation

The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?

Which is the greatest concern during the emergent phase of a burn injury?

Which is the term for an infection of a hair follicle?

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The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, the benefits of what are important to stress?

What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?

Which will the nurse examine when assessing a patient for tinea corporis?