A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?
Hypernatremia
Hypercalcemia
Hypermagnesemia
Hyperkalemia
The Correct Answer is D
A. Hypernatremia: Hypernatremia (elevated sodium levels) is not typically associated with the emergent phase of burn injuries.
B. Hypercalcemia: Hypercalcemia (elevated calcium levels) is not typically associated with the emergent phase of burn injuries.
C. Hypermagnesemia: Hypermagnesemia (elevated magnesium levels) is not typically associated with the emergent phase of burn injuries.
D. Hyperkalemia: Hyperkalemia (elevated potassium levels) is a common electrolyte imbalance seen in the emergent phase of burn injuries due to the release of potassium from damaged cells.
It can lead to cardiac dysrhythmias and other complications if not promptly addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Resuming a regular diet 3 days after the procedure may not be appropriate, as dietary restrictions may be necessary depending on the procedure and the individual's condition.
B. Allowing the adolescent to take a shower 1 day after the procedure is appropriate, as it promotes cleanliness and comfort without interfering with the healing process.
C. Beginning exercise 2 days after the procedure may not be advisable, as the adolescent may need time for rest and recovery, depending on the extent of the procedure and any associated complications.
D. Returning to school 1 week after the procedure may vary depending on the individual's recovery and any restrictions recommended by the healthcare provider.
Correct Answer is C
Explanation
A. Air escaping from around the mask indicates a poor mask seal, which would lead to inadequate oxygen delivery and is not an indication of proper equipment function.
B. The flow control meter dial being at the correct setting ensures the appropriate flow rate of oxygen but does not directly indicate the functionality of the mask and reservoir system. C. The attached reservoir bag should be inflated with oxygen when the mask is properly connected and functioning, indicating the delivery of high-concentration oxygen to the client.
D. The non-rebreather mask should not have exhalation ports that are covered during inspiration and expiration; rather, it should allow exhaled air to escape to prevent carbon dioxide buildup within the mask.
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