The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time:
Increased hematocrit
Decreased blood urea nitrogen (BUN)
Decreased serum potassium
increased serum albumin
The Correct Answer is A
Choice A rationale: During the emergent phase of burn management, patients commonly experience hemoconcentration due to fluid shift from the intravascular space to the interstitial space. This leads to an increase in hematocrit, indicating a higher concentration of red blood cells in the blood.
Choice B rationale: Burn injuries often result in increased protein breakdown and an elevation in BUN levels.
Choice C rationale: Burn injuries can cause the release of potassium from damaged cells, leading to hyperkalemia rather than hypokalemia.
Choice D rationale: The emergent phase of burn management is characterized by a decrease in serum albumin due to protein loss from the burned tissue and increased capillary permeability.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale: Laser therapy, particularly excimer laser, is sometimes used for localized psoriasis lesions. It targets specific areas of affected skin without affecting surrounding healthy skin.
Choice B rationale: Corticosteroids are commonly used to reduce inflammation in psoriasis. They can help relieve itching, redness, and swelling associated with psoriatic lesions.
Choice C rationale: Tar preparations, such as coal tar, are another treatment option for psoriasis. They can help slow down the growth of skin cells, reduce inflammation, and alleviate scaling.
Choice D rationale: Topical antibiotics are not typically used in the treatment of psoriasis. Psoriasis is not primarily caused by a bacterial infection, and antibiotics would not address the underlying inflammatory process.
Choice E rationale: Ultraviolet (UV) light therapy, either natural sunlight or artificial UVB light, is a common treatment for psoriasis. Exposure to UV light can slow down the excessive growth of skin cells and reduce inflammation.
Correct Answer is C
Explanation
Choice A rationale: Hemoglobin level reflects the oxygen-carrying capacity of the blood but is not a direct indicator of nutritional status.
Choice B rationale: International Normalized Ratio (INR) is a measure of blood clotting, and a normal value does not directly impact wound healing.
Choice C rationale: Serum albumin is a marker of nutritional status, and a low level (hypoalbuminemia) can adversely affect wound healing. Adequate protein intake is essential for collagen synthesis and overall tissue repair.
Choice D rationale: White blood cell count is an indicator of immune response and infection but does not directly affect wound healing in the absence of infection.
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