The nurse is taking care of a burn patient with deep partial-thickness burns. Which of the following factors can contribute to fluid imbalance in burn patients?
Decreased metabolic rate
Increased capillary permeability
Normal electrolyte levels
Excessive fluid intake
The Correct Answer is B
A. Decreased metabolic rate:
Burns cause an increase, not decrease, in metabolic rate due to the hypermetabolic state post-injury.
B. Increased capillary permeability:
This is a hallmark of burn injuries. Damaged capillaries leak fluid into interstitial spaces, leading to fluid and electrolyte imbalance.
C. Normal electrolyte levels:
Electrolyte levels are often abnormal in burn patients due to fluid shifts and tissue damage.
D. Excessive fluid intake:
Overhydration can be harmful, but it is not a typical cause of the initial fluid imbalance seen in burns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Swelling and tenderness around the wound:
These are classic signs of infection, indicating inflammation and possible bacterial invasion.
B. Urticaria and itching around the wound:
These are signs of an allergic reaction, not infection.
C. Serosanguineous drainage from the wound:
This is normal wound drainage, especially in early healing.
D. Brown crusting over the wound:
This may indicate scab formation or dried exudate, not necessarily infection.
Correct Answer is ["6"]
Explanation
Order: Mycostatin 600,000 units PO every 8 hr
Available: Mycostatin 100,000 units/Ml
ml to administer =600,000 units /100,000 units/ml
= 6ml
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