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. Orlaam is used for maintenance therapy in opioid dependence, not for acute overdose reversal.
B. Clonidine is used to manage withdrawal symptoms but does not reverse opioid overdose.
C. Methadone is used for maintenance therapy and withdrawal management but does not reverse an overdose.
D. Narcan (naloxone) is the drug of choice to reverse the effects of opioid overdose by displacing opioids from receptor sites.
Correct Answer is F
Explanation
A. Insert nasogastric tube: A nasogastric tube may be inserted early to prevent aspiration and manage gastric distension.
B. Initiate fluid therapy: Fluid therapy is crucial and initiated early to combat hypovolemic shock.
C. Insert Foley catheter: A Foley catheter is often inserted early to monitor urine output and assess renal function.
D. Establish airway: Establishing an airway is the highest priority intervention for burn victims, especially if there are signs of inhalation injury.
E. Administer analgesics: Pain management is crucial but is initiated early in the treatment process.
F. Tetanus prophylaxis: Tetanus prophylaxis is important to prevent infection but is typically administered after the immediate life-threatening issues have been addressed.
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