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?
Within 12 hours after burn trauma
48 to 72 hours after burn trauma
24 to 36 hours after burn trauma
36 to 48 hours after burn trauma
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Personality disorder. Personality disorders are long-term patterns of behaviour and inner experiences that deviate significantly from the expectations of the individual's culture. The described behaviour is a specific pattern related to the time of day, not indicative of a personality disorder.
B. Dementia. While dementia is the underlying condition, the specific worsening of symptoms in the evening is known as sundowning syndrome. Dementia alone does not specify the time-related pattern of increased confusion and agitation.
C. Delirium. Delirium is an acute, often sudden change in cognition and attention, usually caused by an underlying medical condition or substance use. The described behavior follows a regular daily pattern, indicating a different issue.
D. Sundowning syndrome. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, commonly seen in individuals with Alzheimer's disease or other forms of dementia.
Correct Answer is D
Explanation
A. Overflow incontinence. Overflow incontinence occurs when the bladder does not empty properly, leading to frequent or constant dribbling. It is not typically triggered by physical activities like sneezing.
B. Functional incontinence. Functional incontinence is due to physical or cognitive impairments that prevent a person from reaching the bathroom in time, rather than a physiological issue with the bladder or urethra.
C. Urge incontinence. Urge incontinence involves a sudden, intense urge to urinate followed by involuntary loss of urine. It is not typically triggered by physical activities like sneezing.
D. Stress incontinence. Stress incontinence occurs when there is involuntary leakage of urine during physical activities that increase abdominal pressure, such as sneezing, coughing, or exercising.
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