The nurse is reviewing the results of laboratory tests to assess ...

[dbose]

The nurse is reviewing the results of laboratory tests to assess the renal status of a patient who experienced a major burn event on 45 of the body 24 hours ago. Which results should the nurse expect for this patient?
 
  Select all that apply.
  1. glomerular filtration rate (GFR) reduced
  2. specific gravity elevated
  3. creatinine clearance reduced
  4. BUN reduced
  5. uric acid decreased

Question 2

The nurse is evaluating laboratory values for a patient with a burn injury. What results should the nurse expect for this patient?
 
  1. decreased hemoglobin and elevated hematocrit levels
  2. elevated hemoglobin and elevated hematocrit levels
  3. elevated hemoglobin and decreased hematocrit levels
  4. decreased hemoglobin and decreased hematocrit levels

[patma1981]

Answer to Question 1

Correct Answer: 1, 2
During the initial phases of a burn injury, blood flow to the renal system is reduced, resulting in a reduction in GFR and an increase in specific gravity. During this period, BUN levels, creatinine, and uric acid are increased.

Answer to Question 2

Correct Answer: 1
Hemoglobin levels are reduced in response to the hemolysis of red blood cells. Hematocrit levels are elevated secondary to hemoconcentration and fluid shifts from the intravascular compartment.