The following are criteria for transfer to a burn center EXCEPT for:

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Care of Patients with Shock Practice Questions Questions

Question 1 of 5

The following are criteria for transfer to a burn center EXCEPT for:

Correct Answer: D

Rationale: The correct answer is D, Elevated central venous pressure. Transfer to a burn center is based on the extent and severity of burns, not on central venous pressure. A: Partial-thickness and full-thickness burns on greater than 10% of the body surface area (BSA) are criteria for transfer due to the increased risk of complications. B: Any full-thickness burn is a critical criterion for transfer since full-thickness burns require specialized care. C: Burns involving the perineum and skin overlying major joints are also criteria for transfer to a burn center due to the risk of functional impairment and infection.

Question 2 of 5

Which one of the following statements regarding genitourinary injuries is true?

Correct Answer: A

Rationale: Rationale for Correct Answer A: "Urethral injuries are associated with pelvic fractures" 1. Urethral injuries are commonly seen in patients with pelvic fractures due to the close anatomical proximity and the mechanism of injury. 2. Pelvic fractures can cause direct trauma to the urethra, leading to urethral injuries. 3. Urethral injuries may present with blood at the meatus, inability to void, or high-riding prostate on rectal examination. 4. Prompt diagnosis and management are crucial to prevent complications such as urinary retention or urethral stricture. Summary: - Choice B is incorrect as not all patients with microscopic hematuria require genitourinary evaluation. - Choice C is incorrect as gross hematuria and shock can be due to various causes, not solely major renal injuries. - Choice D is incorrect as some intraperitoneal bladder injuries may require surgical intervention, not just urinary catheter placement.

Question 3 of 5

Initial treatment of frostbite injuries involves:

Correct Answer: D

Rationale: The correct answer is D: "Massage of the affected area." Massaging the affected area can help improve blood flow and promote circulation, aiding in the rewarming process for frostbite injuries. This helps prevent further tissue damage and supports healing. Explanation for other choices: A: "Application of dry heat" can actually worsen frostbite by causing additional tissue damage. B: "Debridement of hemorrhagic blisters" is not recommended as it can lead to infection and further complications. C: "Early amputation to prevent septic complications" is an extreme measure and not warranted in the initial treatment of frostbite injuries.

Question 4 of 5

Which of the following is the best example of a nursing assistant demonstrating that she is dependable?

Correct Answer: C

Rationale: Rationale: Choice C is correct because avoiding excessive absences from work demonstrates reliability and dependability. By consistently showing up for work, the nursing assistant ensures continuity of care for patients and demonstrates commitment to her responsibilities. This behavior also allows her colleagues to rely on her presence and support. Summary: A: Showing an interest in others is important but does not directly demonstrate dependability. B: Performing tasks she does not know could jeopardize patient safety and is not a sign of dependability. D: Respecting individual beliefs is crucial in healthcare but does not directly relate to dependability in the context of work attendance.

Question 5 of 5

Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse?

Correct Answer: B

Rationale: The correct answer is B: Psychological abuse. Threatening harm to a resident to prevent disclosure is a form of psychological abuse as it inflicts emotional harm and instills fear. It does not involve direct physical harm (choice A), financial exploitation (choice C), or substance abuse (choice D). Psychological abuse includes threats, intimidation, isolation, and coercion to control or manipulate the victim's behavior or emotions, which aligns with the scenario described.

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