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    Pharmacology Proctored exam 1

    The fire department responded to a building fire. A firefighter was injured. Emergency medical services initiated first aid and emergency care at the scene. Which intervention is appropriate for the EMERGENT phase of burn care?

    Explanation & Rationale

    A. Assess bowel sounds in all four quadrants: Assessment of bowel sounds is important during the acute or rehabilitation phases of burn care to monitor gastrointestinal function. However, it is not part of emergent care immediately following a burn, as priority interventions focus on stopping the burn, maintaining airway, and stabilizing vital signs. B. Perform passive ROM and encourage active ROM: Range-of-motion exercises are primarily indicated in the rehabilitative phase to prevent contractures and maintain mobility. During the emergent phase, the priority is to prevent further tissue damage and stabilize the patient, not to initiate ROM exercises. C. Maintain nutritional status by force feeding: Nutritional support is crucial in burn care because metabolism increases during the healing process, but this intervention is part of the acute or recovery phase. Emergent care focuses on immediate life-saving actions rather than long-term nutritional management. D. Stop the burning by removing clothes and jewelry: The primary goal in the emergent phase of burn care is to halt the progression of injury. Removing clothing and jewelry immediately stops ongoing thermal damage and prevents constriction from swelling. This action directly addresses the immediate threat to tissues and is a critical first step in life- and limb-saving burn management.

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