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","D","E"]
Explanation
A. Can be stored for later use as glycogen: Glucose is stored in the liver and muscles as glycogen for energy use when needed.
B. Converts to urea: Urea is a waste product formed from protein metabolism, not glucose metabolism.
C. Converts to ammonia: Ammonia is a byproduct of amino acid breakdown, not glucose metabolism.
D. Is burned as fuel to get energy: Glucose is the body's primary energy source, metabolized via glycolysis, the Krebs cycle, and oxidative phosphorylation.
E. Is the most important sugar in the body: Glucose is the key monosaccharide required for cellular metabolism and ATP production.
Correct Answer is C
Explanation
A. Peritonitis: Peritonitis is inflammation of the peritoneal cavity, often due to infection, not necessarily linked to reduced protein synthesis.
B. Pneumonia: Pneumonia is a lung infection that may occur due to weakened immunity in aging individuals but is not directly caused by reduced protein synthesis.
C. Skin breakdown (pressure injury): Slowed tissue repair due to reduced protein synthesis increases the risk of skin breakdown and pressure injuries in elderly clients.
D. Meningitis: Meningitis is inflammation of the meninges due to infection, not due to slowed tissue repair.
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