Which nursing action is a priority for a patient who has suffered a burn injury while working on an electrical power line?
a. Obtain the blood pressure.
b. Stabilize the cervical spine.
c. Assess for the contact points.
d. Check alertness and orientation.
ANS: B
Cervical spine injuries are commonly associated with electrical burns. Therefore stabilization of the cervical spine takes precedence after airway management. The other actions are also included in the emergent care after electrical burns, but the most important action is to avoid spinal cord injury.
You might also like to view...
The S1 heart sound corresponds to which physiological event?
1. Closure of the AV valves 2. Closure of the semilunar valves 3. Ejection of blood from the atria 4. The onset of relaxation
What refers to evidence of the researcher's objectivity?
A) Reliability B) Trustworthiness C) Dependability D) Confirmability
A nurse admits an older client who is experiencing memory loss, confused thinking, and apathy. A psychiatrist suspects depression. What is the rationale for performing a mini-mental status exam?
A. To rule out bipolar disorder B. To rule out schizophrenia C. To rule out neurocognitive disorder D. To rule out a personality disorder
Vector-borne transmission of disease occurs
A. when the hands come into contact with a fomite. B. when food or medication is contaminated. C. when disease is spread by an insect or rodent. D. when an infectious agent is inhaled through the air.