A family member talks to you about a client who has had a stroke on the right side of the brain. The family member is concerned because of the deficits the client is exhibiting. The nurse knows that when a client experiences a stroke on the right side of the brain common deficits include what?

A. Development of third spacing reduces renal perfusion: Large burn injuries cause massive fluid shifts into the interstitial and third spaces due to increased capillary permeability. This reduces circulating blood volume and decreases renal perfusion, creating a risk of shock and acute kidney injury. Large-volume crystalloid resuscitation restores intravascular volume and supports organ perfusion.

B. It is part of the protocol for initial burn management: While fluid resuscitation is indeed part of burn protocols, this option does not explain why fluids are required. The rationale must focus on the pathophysiology of fluid shifts and reduced perfusion.

C. Burn trauma cell damage causes external fluid loss: Although burns cause loss of the skin barrier and some evaporative fluid loss, the primary reason for large-volume replacement is internal fluid shifting (third spacing), not external loss.

D. Crystalloid intravenous fluids are less expensive: Cost is not a clinical reason for choosing the type of fluid for burn resuscitation. The choice is based on safety, evidence-based guidelines, and physiologic needs.

A. Increases the cardiac workload: Shivering significantly increases metabolic demand and oxygen consumption, which in turn raises heart rate and blood pressure. After coronary artery bypass graft surgery, the heart is vulnerable, and increased workload can precipitate ischemia or other cardiac complications, making slow rewarming essential.

B. Increases the amount of oxygen available to the heart: Shivering does not increase oxygen availability; in fact, it increases oxygen consumption by skeletal muscles, which can reduce the oxygen supply available to the myocardium.

C. Is uncomfortable to the client: While shivering is uncomfortable, the primary concern post-CABG is the physiological stress it places on the heart, not just discomfort.

D. Promotes diuresis and volume depletion: Shivering does not directly cause significant diuresis or volume depletion. The main risk is increased myocardial oxygen demand rather than fluid loss.