Kevin suffered third degree burns over both lower extremities. On admission to the hospital, he was given large amounts of fluid intravenously and placed on sterile sheets. The nurse knows the primary reason that Kevin requires large amounts of intravenous fluids is which of the following?
Sterile sheets pull water out of the burn site
The loss of skin causes the loss of large amount of body fluid
He is thirsty
He has not had anything to drink since the accident
The Correct Answer is B
A. Sterile sheets pull water out of the burn site: Sterile sheets help maintain a clean environment but do not significantly draw fluids from the wound.
B. The loss of skin causes the loss of large amounts of body fluid: Third-degree burns destroy the skin barrier, leading to severe fluid loss due to increased capillary permeability, which results in fluid shifts and hypovolemic shock.
C. He is thirsty: While burn patients may feel thirsty due to dehydration, IV fluids are given to restore lost fluids, not just to satisfy thirst.
D. He has not had anything to drink since the accident: Oral hydration is not sufficient in severe burn cases due to the large fluid loss and the need for rapid replacement through IV fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypernatremia: Hypernatremia refers to high sodium levels, which are not directly related to impaired glucose metabolism.
B. Hyperglycemia: Aging reduces insulin sensitivity and pancreatic function, leading to higher blood glucose levels, or hyperglycemia, which is a risk factor for diabetes mellitus.
C. Hypoglycemia: Aging-related insulin resistance typically results in elevated glucose levels (hyperglycemia), not low blood sugar (hypoglycemia).
D. Hyperkalemia: Hyperkalemia is an excess of potassium in the blood, which is not directly linked to impaired glucose metabolism.
Correct Answer is A
Explanation
A. Are found primarily in the axillary and genital areas: Apocrine glands are sweat glands located in the armpits (axillary) and genital regions. They become active at puberty and secrete a thicker sweat that can cause body odor.
B. Are endocrine glands: Apocrine glands are exocrine glands, not endocrine. They release their secretions onto the skin surface through ducts rather than into the bloodstream.
C. Arise within the hypodermis: Apocrine glands are located in the dermis, not the hypodermis. The hypodermis consists mostly of fat.
D. Are called oil glands: Oil glands (sebaceous glands) produce sebum, while apocrine glands secrete sweat.
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