A victim of a fire in a clothing shop is complaining of headache ...

[lb_gilbert]

A victim of a fire in a clothing shop is complaining of headache and dizziness and has a potentially dangerous heart rhythm. What actions should the nurse expect to be performed for this patient?
 
  Select all that apply.
 
  1. treatment with prednisone
  2. treatment with vancomycin
  3. treatment with hydroxocobalamin
  4. hyperbaric oxygen therapy
  5. pacemaker insertion

Question 2

A patient comes to the physician's office after sustaining chemical burns to the left side of the face and right wrist. Where does this patient need to be treated?
 
  1. in the outpatient ambulatory clinic
  2. in the emergency department
  3. in a burn center
  4. in the doctor's office, and then at home

[bpool94]

Answer to Question 1

Correct Answer: 3, 4
Cyanide gas is released when plastics, polyurethane, nylon, or silk is burned. Manifestations of cyanide poisoning include headache, dizziness, and lethal dysrhythmias. Treatment addresses the inability of the body to use oxygen. Hyperbaric oxygen (oxygen delivery in a high-pressure chamber) may be used with inhalation of smoke. Hydroxocobalamin (Cyanokit) is a form of vitamin B12 that converts cyanide to a form that can be excreted from the body. Prednisone, vancomycin, and pacemaker insertion are not used to treat cyanide poisoning.

Answer to Question 2

Correct Answer: 3
Adult patients who should be treated at burn centers include those with burns that involve the hands, feet, face, eyes, ears, or perineum. Patients with small or noninvasive burns may be managed at an outpatient clinic. The emergency department is where a burn would be evaluated. The physician's office and the ambulatory clinic can manage mild burns.