Following a serious thermal burn, which complication will the nurse take action to prevent first?
Tissue hypoxia.
Cardiac failure.
Hypovolemia.
Infection.
The Correct Answer is C
Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.
A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.
D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"The chance of acquiring a sexually transmitted infection increases with multiple sex partners." This response is appropriate and accurate because having multiple sex partners increases the risk of acquiring sexually transmitted infections. The nurse's response can help educate the client and encourage safer sexual practices.
Choice A is incorrect because it assumes the client already practices safe sex.
choice C is not relevant to the conversation.
Choice D is not necessarily incorrect, but it does not provide as much information or education to the client as choice B does.
Correct Answer is B
Explanation
Anemia from the decrease in the maturation of red blood cells. Erythropoietin, a hormone secreted by the kidneys, stimulates the production of red blood cells in the bone marrow. A decrease in erythropoietin secretion from the kidneys will result in a decrease in the maturation of red blood cells, leading to anemia.
Choice A, an increase in blood sugar levels due to alteration in insulin levels, and Choice C, Decrease in blood sugar levels due to alteration in insulin levels are not associated with decreased secretion of erythropoietin.
Choice D, Development of male sex characteristics is not related to the function of erythropoietin.
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