When visiting a friend, you see an 18-month-old toddler pull a scalding cup of tea off a table onto himself.

Your first action should be to:

Apply butter to soothe the injured skin.

Wrap him in a blanket and rush him to the nearest hospital.

Remove his shirt and apply burn ointment.

Pour cool water over the skin area where the coffee spilled.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Applying butter to a burn is a harmful practice. Butter holds heat against the skin, which can worsen the tissue damage. Additionally, it can trap bacteria, increasing the risk of infection. The oil in the butter can also interfere with proper medical evaluation and treatment of the burn.

Choice B rationale

Wrapping the child in a blanket and rushing him to the hospital is not the first action. The immediate priority is to stop the burning process. The heat from the scalding tea continues to damage tissue. A blanket can also retain heat and worsen the burn. The priority is to cool the skin first.

Choice C rationale

Removing the shirt is a good idea to prevent the trapped heat from worsening the burn, but applying burn ointment is not the first action. Immediate cooling with water is the priority. Burn ointments can trap heat and complicate medical assessment, as they must be removed before the burn can be properly evaluated.

Choice D rationale

Pouring cool water over the affected skin is the immediate and most effective first action. The cool water stops the burning process by dissipating the heat from the skin, minimizing the depth and severity of the burn. This action prevents further tissue damage and reduces pain.

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Correct Answer is D

Explanation

Choice A rationale

Docusate sodium is a stool softener used to treat constipation and is not indicated for an acute ingestion of ferrous sulfate. Administering this medication would not address the toxic effects of iron overdose, which can cause severe gastrointestinal and metabolic acidosis.

Choice B rationale

Giving a child orange juice is not an appropriate action. While vitamin C in orange juice can enhance iron absorption, this is dangerous in an overdose situation. The priority is to prevent further systemic absorption of the toxic iron.

Choice C rationale

Inducing vomiting is no longer a recommended intervention for most ingestions, including iron, due to the risk of aspiration and the limited effectiveness in removing all the ingested substance. The corrosive nature of iron can also cause esophageal damage upon emesis.

Choice D rationale

Contacting the poison control center is the most appropriate action. Poison control experts can provide the most current, specific, and evidence-based instructions tailored to the child's weight, the amount ingested, and the type of product, ensuring safe management and timely care.

A. They do not result in cervical change. B. They will increase in intensity and strength. C. They do not increase in frequency and intensity. D. They often disappear with rest or sleep. E. They are irregular.

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale

False labor contractions, also known as Braxton Hicks contractions, are uncoordinated and do not cause effacement or dilation of the cervix. They are considered practice contractions. True labor contractions, in contrast, cause progressive cervical changes, which is the definitive sign of true labor. This is the key physiological difference between true and false labor.

Choice B rationale

This statement describes true labor contractions, not false labor. True labor contractions will increase in intensity, duration, and frequency over time. As the labor progresses, the contractions become stronger and more powerful, leading to cervical changes. False labor contractions are typically inconsistent in their strength and may even weaken over time.

Choice C rationale

This statement is an incomplete description of false labor. While they do not necessarily increase in frequency and intensity, a key characteristic is that they are irregular in their pattern. True labor contractions, on the other hand, are regular and follow a predictable pattern of increasing frequency and intensity.

Choice D rationale

False labor contractions often diminish or disappear with rest, changes in activity, or hydration. This is a common characteristic that helps to distinguish them from true labor. True labor contractions will continue regardless of rest, sleep, or changes in activity and will often become stronger with ambulation.

Choice E rationale

False labor contractions are typically irregular in their timing and duration. The interval between contractions does not shorten, and the intensity does not increase. True labor contractions, however, are regular and predictable, following a pattern of increasing frequency, duration, and intensity as labor progresses. .

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When visiting a friend, you see an 18-month-old toddler pull a scalding cup of tea off a table onto himself. Your first action should be to:

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Naxlex Comprehensive Predictor Exams

A nurse receives a call from a parent concerned their toddler ingested half of a bottle of ferrous sulfate vitamins. What should the nurse instruct the parent to do?

Correct Answer is D

Explanation

What should the nurse emphasize as being characteristic of false labor contractions?

Correct Answer is ["A","D","E"]

Explanation

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When visiting a friend, you see an 18-month-old toddler pull a scalding cup of tea off a table onto himself.

Your first action should be to: