The nurse is caring for a patient who was brought into the emergency department after an explosion at a nuclear power plant. The patient is confused and keeps repeating that his skin is "on fire." What does this information indicate to the nurse?
1. The patient may not recover.
2. The patient's clothing is burning his skin.
3. There is gastrointestinal system involvement and the patient will survive if he receives fluids.
4. There is bone marrow damage and the patient needs oxygen for the confusion.
Correct Answer: 1
For victims of a nuclear detonation, comfort measures, such as psychologic support and empathy, are given. The patient's clothing would be burning his skin if he had experienced a chemical injury. Evidence of gastrointestinal system involvement would be nausea, loss of appetite, diarrhea, and malaise. Evidence of bone marrow damage would be nausea, fatigue, malaise, clotting disorders, and hemorrhage.
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