Following a serious thermal burn, which complication will the nurse take action to prevent first?
Tissue hypoxia.
Cardiac failure.
Hypovolemia.
Infection.
The Correct Answer is C
Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.
A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.
D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.
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Related Questions
Correct Answer is C
Explanation
Compression fractures. Osteoporosis is a condition characterized by decreased bone mass and density, which can lead to an increased risk of fractures. In severe cases of osteoporosis, the client may be at risk for compression fractures, especially in the spine. Compression fractures can lead to pain, loss of height, and a stooped posture.
Choice A, diabetes, is not the correct answer because it is a metabolic disorder that affects the way the body uses glucose.
Choice B, cardiac disease, is not the correct answer because it is a group of disorders that affect the heart and blood vessels.
Choice D, hypertension, is not the correct answer because it is a condition characterized by high blood pressure.
Correct Answer is A
Explanation
Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.
Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.
Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.
Elevated white blood cells, choice D, may indicate an infection.
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