The nurse is working on a burn unit and an acutely ill client is exhibiting signs and symptoms of third spacing. Based on this change in status, the nurse should expect the client to exhibit signs and symptoms of which imbalance?
Metabolic alkalosis
Hypermagnesemia
Hypercalcemia
Hypovolemia
The Correct Answer is D
A. Metabolic alkalosis is not a direct result of third spacing and is more often associated with vomiting or diuretic use.
B. Hypermagnesemia occurs with excessive intake or renal failure, not third spacing.
C. Hypercalcemia is unrelated to fluid shifts associated with burns.
D. Hypovolemia is the correct answer. Third spacing occurs when fluid shifts from the intravascular space to interstitial or "third" spaces, leading to a decrease in circulating blood volume despite normal or increased total body fluid — causing signs of hypovolemia such as hypotension, tachycardia, and decreased urine output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calcium levels are often decreased in acute pancreatitis due to fat necrosis and calcium binding within the inflamed pancreas.
B. RBC count is not typically elevated in pancreatitis and is not a key diagnostic indicator.
C. Magnesium may be normal or decreased, but it is not a hallmark finding in pancreatitis.
D. Amylase is a digestive enzyme produced by the pancreas, and its levels rise significantly during acute pancreatitis, making it a primary diagnostic marker.
Correct Answer is A
Explanation
A. Gallstones are one of the most common causes of acute pancreatitis. They can obstruct the pancreatic duct, leading to inflammation and enzyme activation within the pancreas.
B. Hypolipidemia is not associated with pancreatitis; in fact, hyperlipidemia is a known risk factor.
C. COPD is unrelated to pancreatic inflammation and is not a typical risk factor.
D. Diabetes mellitus is more often a complication of chronic pancreatitis, not a primary cause of acute pancreatitis.
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