Relias Emergency Department Practice Test

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After being struck by lightning, what is the PRIORITY intervention for the patient upon arrival?
Correct Answer:
Monitor cardiac rhythm
Explanation:
The priority intervention for a patient who has been struck by lightning is to monitor cardiac rhythm. Lightning strikes can lead to a variety of complications, including cardiac arrest or arrhythmias due to the electrical current passing through the body. Therefore, it is essential to continuously assess the patient's heart rhythm to quickly identify any life-threatening conditions such as these. Monitoring cardiac rhythm allows healthcare providers to detect abnormalities early and intervene promptly, which is critical in these situations where the risk of sudden cardiac events is significant. While assessing neurological status, administering IV fluids, and transporting the patient safely are important components of subsequent care, the immediate focus should be on ensuring the patient's heart is functioning properly.

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