The nurse is caring for a 26-year-old male patient who was burned ...

[bobypop]

The nurse is caring for a 26-year-old male patient who was burned 72 hours ago. He has partial-thickness burns to 24 of his body surface area. He begins to excrete large amounts of urine. What should the nurse do?
 
  a. Increase the IV rate and monitor for burn shock
  b. Monitor for signs of seizure activity.
  c. Assess for signs of fluid overload
  d. Raise the foot of the bed and apply blankets

Question 2

The nurse clarifies that serum potassium levels are determined before surgery to:
 
  a. assess kidney function.
  b. determine respiratory insufficiency.
  c. prevent arrhythmias related to anesthesia. d.
  measure functional liver capability.

[ecox1012]

Answer to Question 1

ANS: C
As the blood volume increases, the cardiac output increases to increase renal perfusion. The result includes diuresis. However, a great risk for the patient includes fluid overload because of the rapid movement of fluid back into the intravascular space.

Answer to Question 2

ANS: C
Serum electrolytes are evaluated if extensive surgery is planned or the patient has extenuating problems. One of the essential electrolytes examined is potassium; if potassium is not available in adequate amounts, arrhythmias can occur during anesthesia.

[bobypop]

TYSM

[kusterl]

Gracias!