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A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?

A.

Within 12 hours after burn trauma

B.

48 to 72 hours after burn trauma

C.

24 to 36 hours after burn trauma

D.

36 to 48 hours after burn trauma

Answer and Explanation

The Correct Answer is B

A. Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.

B. 48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.

C. 24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.

D. 36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.


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Related Questions

Correct Answer is A

Explanation

A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.

Correct Answer is C

Explanation

A. Abstaining from drug use: Abstinence is crucial, but rehabilitation also involves addressing underlying issues and developing coping strategies.
B. Establishing a support system: Support systems are important, but the primary focus is addressing addiction-related problems.
C. Addressing the problems related to addiction: Comprehensive rehabilitation involves identifying and addressing the root causes and consequences of addiction.
D. Seeking and maintaining employment: Employment is beneficial, but it is a part of broader rehabilitation goals focused on addiction-related issues.

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