An older adult client with severe burns over more than half of ...

[madam-professor]

An older adult client with severe burns over more than half of the body has an indwelling catheter. When evaluating the client's intake and output, which should be taken into consideration?
 
  A) The amount of urine will be elevated due to the amount of intravenous fluids administered during the initial phases of treatment.
  B) The amount of urine will be reduced in the first 24 to 48 hours and will then increase.
  C) The amount of urine will be reduced during the first 8 hours of the burn injury and will then increase as diuresis begins.
  D) The amount of urine output will be greatest in the first 24 hours after the burn injury.

Question 2

The nurse is concerned that a client is at a high risk for a burn injury. Which data supports the nurse's concern? Select all that apply.
 
  A) Part-time employment at a convenience store
  B) Diagnosis of hypertension
  C) Age 71 years
  D) Utilizes public transportation for grocery shopping
  E) Currently smokes 1 pack per day of cigarettes

[vkodali]

Answer to Question 1

Answer: B

The client will have an initial reduction in urinary output. Fluid 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 client will enter a period of diuresis. Diuresis begins between 24 and 36 hours after the burn injury.

Answer to Question 2

Answer: C, E

Older clients are more vulnerable to fire and burn injury because of decreased visual acuity, depth perception, sense of smell, and hearing, and impaired mobility. Alterations in cognition, such as dementia, are also risk factors. Careless smoking is another risk factor. All of these factors increase the risk of accidentally starting a fire and diminish the ability to survive it. Hypertension does not increase the client's risk for experiencing a burn injury. Part-time employment and use of public transportation do not increase the client's risk of experiencing a burn injury.

[madam-professor]

Gracias!

[komodo7]

TYSM