![]() to use the Consensus burn fluid calculation formula - CORRECT ANSWER IS C. BSA calculations do not predict electrical burn fluid needs D. ![]() these palm burns represent 1% of body surface area (BSA) C. to apply the Parkland burn fluid calculation formula B. Anticipating fluid needs for this patient, the nurse knowsĪ. The entire palmar surface of both hands is charred and dry. ![]() Antidote administration-intravenous atropine and pralidoxime (2-PAM Protopam)-will likely be required.Ī patient who grasped a live elctrical wire is admitted to the ED. In the walking and talking patient, the priority intervention is to decontaminate the patient to avoid cross-contamination of medical caregivers and equipment. Death occurs related to respiratory occurs r/t respiratory failure caused by respiratory muscle paralysis nd increased secretions. As well as SLUDGE: Salivation, Lacrimation, Urination, Defecation, GI upset, and Emesis. Miosis (constriction of pupils), Urination (increase in urination), Diaphoresis, Defecation, Lacrimation, Excitement. Findings in the patient with a cholinergic toxicity are MUDDLE. Toxicity causes a cholinergic crisis resulting in stimulation and hypersecretion of body fluids. These substances are found in industrial insecticides used on farms, as well as in home pesticides (bug spray). The patient's presentation and recent history suggest organophosphate or cabamate poisoning. Skin decontamination - CORRECT ANSWER IS D. Rationale: Symptoms of anticholinergic exposure can be recalled using the mnemonic "red as a beet, dry as a bone, blind as a bat, mad as a hatter, and hotter than Hades." Treatment is largely symptomatic and supportive.Īfter spraying pesticides all day, a farmhand walks into the ED complaining of diaphoresis, productive cough, nausea, vomiting, and diarrhea. Beta-blocker overdose - CORRECT ANSWER IS C. Rationale: According to the American Burn Association, patients with burns that overlay major joints should be referred to a burn center.Ī 5-year-old presents with dilated pupils, tachycardia, hot flushed skin, agitation, diminished bowel sounds, urinary retention, and hallucinations after ingesting several tiotropium (Spiriva) inhalation powder capsules. 2% Full thickness burns in the left knee area Superficial circumferential burns of the forearms - CORRECT ANSWER IS C. 2% Full-thickness burns in the left knee area D. Partial thickness burns on the anterior right thigh C. 8% partial thickness burns to the anterior chest B. Which of the following findings in a 20-yr-old burn patient indicates the need for burn center referral?Ī. Hydrocarbon-based substances (e.g., fuel, paint thinners, organic solvents) cause the most severe inflammatory response and are associated with the highest incidence of subsequence amputations. High-pressure injection injuries are a surgical emergency requiring thorough cleansing and immediate decompression to prevent compartment syndrome and tissue necrosis. Emergency care includes splinting the injury, obtaining radiographs, administering parenteral analgesics and broad-spectrum ABX, ensuring appropriate tetanus prophylaxis, and elevating the injury. This injury most commonly occurs to the dominant hand or index finger of the injection gun operator. Rationale: High-pressure injection injuries occur when a device (e.g., a paint or grease gun) injects the foreign substance into a body. Muscle contracture - CORRECT ANSWER IS B. Preoperatively, the emergency nurse will monitor the patient for the development ofĪ. Rationale: CDC recommends contact precautions for patients with active MRSA infection.Ī patient with a hand wound caused by a high-pressure paint gun is awaiting surgical wound exploration. Airborne precautions - CORRECT ANSWER IS B. Which of the following infection control measures is indicated in the patient with an active methicillin resistant staphylococcus aureus wound infection?Ī.
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