A patient receiving treatment for severe burns over more than ...

[SGallaher96]

A patient receiving treatment for severe burns over more than half the body has an indwelling urinary catheter. When evaluating the patient's intake and output, what should the nurse take into consideration?
 
  1. Urine output will be reduced in the first 2448 hours and will then increase.
  2. Urine output will be greatest in the first 24 hours after the burn injury.
  3. Urine output will be reduced during the first 8 hours and will then increase as diuresis begins.
  4. Urine output will be elevated due to the amount of intravenous fluids administered during the initial phases of treatment.

Question 2

A patient has sustained a partial-thickness burn of 28 of total body surface area (TBSA) and full-thickness burn of 30 or greater of TBSA. How should the nurse classify this burn injury?
 
  1. major
  2. moderate
  3. minor
  4. superficial

[softEldritch]

Answer to Question 1

Correct Answer: 1
Urine output is reduced in the initial phases as the body manages the insult caused by the injury and fluids are drawn into the interstitial spaces. After the shock period passes, the patient will enter a period of diuresis, which begins between 24 and 36 hours after the burn injury.

Answer to Question 2

Correct Answer: 1
Partial-thickness burn injuries of greater than 25 of TBSA in adults and full-thickness injuries 10 or greater of TBSA are considered major burn injuries. Moderate burn injuries comprise partial-thickness burns of 1525 of TBSA in adults and full-thickness injuries greater than 10 of TBSA not involving ears, eyes, face, hands, feet, and perineum. Minor burn injuries comprise partial-thickness burns of less than 15 of TBSA in adults and full-thickness injuries less than 2 of TBSA not involving ears, eyes, face, hands, feet, and perineum. First-degree (superficial) burns affect only the epidermis, or outer layer of skin. The burn site is red, painful, dry, and with no blisters. Mild sunburn is an example.