A 42-year-old client was admitted with partial and full-thickness ...

[jazziefee]

A 42-year-old client was admitted with partial and full-thickness burns over 45 of the body. The nurse identifies that the initial goal in treatment for these burns would be:
 
  1. preventing dehydration and infection.
  2. preventing scarring and infection.
  3. combating shock and preventing infection.
  4. preventing hemorrhage and shock.

Question 2

A client with a major burn develops a dysrhythmia. What should the nurse suspect as the cause for this cardiac complication?
 
  1. An increase of intracellular magnesium ions
  2. A decrease in sodium levels related to diuresis
  3. Loss of potassium ion related to cell injury
  4. Increased cardiac output

[mmj22343]

Answer to Question 1

Answer: 3

1. Loss of tissue integrity puts the client at risk for infection. Dehydration occurs in the diuretic stage of burns.
2. Loss of tissue integrity puts the client at risk for infection. Scarring is not a high priority at this time.
3. Loss of fluids puts the client with major burns at great risk for shock; loss of tissue integrity puts the client at risk for infection.
4. Loss of fluids puts the client with major burns at great risk for shock; the client is not at risk for hemorrhaging.

Answer to Question 2

Answer: 3

1. Potassium is an intracellular ion and is lost when cells are destroyed, as with a burn. Potassium is required for proper cardiac contractility; low levels put the client at risk for dysrhythmias.
2. Potassium is an intracellular ion and is lost when cells are destroyed, as with a burn. Potassium is required for proper cardiac contractility; low levels put the client at risk for dysrhythmias.
3. Potassium is an intracellular ion and is lost when cells are destroyed, as with a burn. Potassium is required for proper cardiac contractility; low levels put the client at risk for dysrhythmias.
4. Potassium is an intracellular ion and is lost when cells are destroyed, as with a burn. Potassium is required for proper cardiac contractility; low levels put the client at risk for dysrhythmias.

[jazziefee]

Gracias!

TYSM