The nurse cautions that, when cooling down a victim of ...

[burton19126]

The nurse cautions that, when cooling down a victim of heatstroke, one must be careful to prevent shivering. Shivering can lead to which complication?
 
  a. A paralytic ileus
  b. Cardiac arrhythmias
  c. An increase in temperature
  d. A seizure

Question 2

A worker in a department store fell through a plate glass window, causing a deep laceration on the right mid-thigh that is pumping bright red arterial blood. Which initial action is most impor-tant for the first responder to take?
 
  a. Elevate the leg.
  b. Bunch up the worker's shirt and press it against the wound.
  c. Press the palm of hand in the groin to compress the femoral artery.
  d. Tie the worker's belt tightly around his upper thigh to stop bleeding.

[bigsis44]

Answer to Question 1

C
Shivering is a homeostatic activity that generates heat and increases body temperature. Shivering would not cause a paralytic ileus, cardiac arrhythmias, or seizures.

Answer to Question 2

B
A guideline published by the American College of Surgeons Committee on Trauma in 2014 re-commends holding direct pressure on the bleeding area for prehospital control of bleeding. If this approach is impractical or ineffective, a tourniquet may be implemented. It is not always possible to compress the artery at the needed location, so this choice is not a first line intervention. Eleva-tion of an injured extremity is no longer recommended.