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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Sanguineous drainage in the suction device:
May occur early on, but persistent sanguineous drainage is not a sign of healing.

B. Granulation tissue on the surface of the wound:
Granulation tissue is pink, healthy tissue that indicates wound healing.

C. Musty odor from the foam dressing upon removal:
Could indicate infection or dressing degradation, not healing.

D. Peeling of the edges of the transparent dressing:
Could compromise the seal of the VAC system and does not reflect wound healing.

A. Allergic reaction in patients with sulfa allergies B. Increased risk of infection C. Delayed wound healing D. Improved wound healing

Correct Answer is A

Explanation

A. Allergic reaction in patients with sulfa allergies:
Silver sulfadiazine contains a sulfa compound and is contraindicated in patients with sulfonamide allergies.

B. Increased risk of infection:
Silver sulfadiazine is antimicrobial, and reduces infection risk, not increases it.

C. Delayed wound healing:
Some studies suggest it may delay epithelialization, but this is not the most common or concerning reaction.

D. Improved wound healing:
It helps prevent infection, but does not significantly accelerate healing. The focus is on infection control, not wound closure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a large wound that has a vacuum-assisted closure device placed over it. Which of the following findings by the nurse indicates healing of the wound?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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