A patient has an electrical burn with a small entry wound on the hand and an exit wound on the foot. Which assessment is the priority after the electrical source is made safe?
Correct answer: A. Assess cardiac rhythm and obtain an electrocardiogram
- A. Assess cardiac rhythm and obtain an electrocardiogram
- B. Measure the wound diameter and apply dry gauze
- C. Encourage oral fluids and reassess in two hours
- D. Check the patient's vaccination record first
Explanation
Electrical current can cause life-threatening dysrhythmias and deep tissue injury even when the skin wounds appear small. Cardiac rhythm assessment and an electrocardiogram take priority after the power source is disconnected; wound measurement and tetanus review follow stabilization.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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