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 ["A","B"]
Explanation
A. Cause blood pH to go lower than 7.35: When the body breaks down fats for energy, it produces ketones, which are acidic. This leads to a drop in blood pH below the normal range (7.35–7.45), a condition known as metabolic acidosis.
B. Cause blood pH to become acidic: The accumulation of ketones results in ketoacidosis, making the blood more acidic.
C. Cause blood pH to go above 7.45: A pH above 7.45 indicates alkalosis, which is not the case in diabetic ketoacidosis (DKA).
D. Cause blood pH to become alkaline: Ketones contribute to acidosis, not alkalosis.
E. Cause blood pH to become base: A base (alkaline) pH is above 7.45, which does not happen in ketoacidosis.
Correct Answer is ["C","D"]
Explanation
A. How to give themselves insulin: Patients with prediabetes do not require insulin; insulin is usually prescribed for individuals with advanced diabetes.
B. How to take an oral diabetic medication: Prediabetes is usually managed with lifestyle changes, not medication, unless blood sugar levels progress to diabetes.
C. Ways to increase physical activity: Increased physical activity can improve insulin sensitivity and help prevent progression to diabetes.
D. Healthy eating habits: A balanced diet with controlled carbohydrate intake can help maintain normal blood glucose levels and prevent diabetes.
E. How to store the container with the insulin: Since insulin is not needed for prediabetes, teaching about insulin storage is unnecessary.
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