A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?
Within 12 hours after burn trauma
48 to 72 hours after burn trauma
24 to 36 hours after burn trauma
36 to 48 hours after burn trauma
The Correct Answer is B
A. Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.
B. 48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.
C. 24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.
D. 36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.
B. Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.
C. Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.
D. Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.
Correct Answer is A
Explanation
A. Nausea. Disulfiram causes an acute sensitivity to alcohol. When alcohol is consumed, it leads to an accumulation of acetaldehyde, causing unpleasant effects like severe nausea, vomiting, and headache, deterring the individual from drinking.
B. Blackouts. Blackouts are periods of memory loss due to heavy drinking but are not specifically induced by the combination of disulfiram and alcohol.
C. Hypertension. While disulfiram can cause cardiovascular effects, hypertension is not the primary or most severe side effect of consuming alcohol while on disulfiram.
D. Headaches. Headaches are indeed a part of the disulfiram-alcohol reaction, but the primary severe side effect leading to the aversion is nausea.
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