Kevin suffered third degree burns over both lower extremities. On admission to the hospital, he was given large amounts of fluid intravenously and placed on sterile sheets. The nurse knows the primary reason that Kevin requires large amounts of intravenous fluids is which of the following?
Sterile sheets pull water out of the burn site
The loss of skin causes the loss of large amount of body fluid
He is thirsty
He has not had anything to drink since the accident
The Correct Answer is B
A. Sterile sheets pull water out of the burn site: Sterile sheets help maintain a clean environment but do not significantly draw fluids from the wound.
B. The loss of skin causes the loss of large amounts of body fluid: Third-degree burns destroy the skin barrier, leading to severe fluid loss due to increased capillary permeability, which results in fluid shifts and hypovolemic shock.
C. He is thirsty: While burn patients may feel thirsty due to dehydration, IV fluids are given to restore lost fluids, not just to satisfy thirst.
D. He has not had anything to drink since the accident: Oral hydration is not sufficient in severe burn cases due to the large fluid loss and the need for rapid replacement through IV fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Connective tissue: Connective tissue provides support and structure (e.g., bone, tendons, fat) but does not contract.
B. Muscle tissue: Muscle tissue is specialized for contraction and movement, including skeletal, cardiac, and smooth muscle.
C. Epithelial tissue: Epithelial tissue covers surfaces and lines organs but does not cause movement.
D. Nervous tissue: Nervous tissue transmits signals but does not directly cause movement.
Correct Answer is B
Explanation
A. Epidermis: The epidermis is the outermost layer of the skin responsible for protection but does not store fat or regulate temperature.
B. Subcutaneous (hypodermis): The subcutaneous layer (hypodermis) contains adipose (fat) tissue, which insulates the body, cushions internal structures, and stores energy.
C. Dermis: The dermis contains blood vessels, nerves, and connective tissue but does not store fat.
D. Keratin: Keratin is a protein found in the epidermis that provides strength and waterproofing but does not regulate temperature or store fat.
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