A nurse is assessing a client who has sustained burns on the entire left arm and the anterior chest. Using the rule of nines, the nurse calculates what percentage of total body surface area is affected by the burns?
36%
18%
27%
9%
The Correct Answer is C
Left arm (entire): 9%
Anterior chest: 18%
Total: 9% + 18% = 27%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sodium level: Serum sodium levels can vary and are not a direct measure of fluid retention.
B. Tissue edema: Edema is subjective and can be influenced by other conditions.
C. Urinary output: Many CKD patients have limited or no urine output despite fluid retention.
D. Daily weight: Daily weights are the most reliable non-invasive measure for fluid status.
Correct Answer is A
Explanation
A. Hyperkalemia: During the emergent phase, massive cell injury causes potassium to leak into the extracellular space, raising serum K+ levels.
B. Hypokalemia: More common later in the fluid resuscitation or diuretic phase.
C. Hypernatremia: Sodium is often lost into burned tissues or with fluid shifts; hyponatremia may be seen early.
D. Hypocalcemia: While possible, especially if blood products are given, hyperkalemia is more prominent early.
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