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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Pruritus (itching) and reddened, oozing lesions are common symptoms of contact dermatitis, which can result from exposure to irritants or allergens.
Choice B rationale: Tinea pedis, or athlete's foot, typically presents with scaling, redness, and itching between the toes.
Choice C rationale: Pediculosis refers to infestation with lice, which may cause itching and small, red papules, but it usually does not involve oozing lesions.
Choice D rationale: Alopecia refers to hair loss and is not typically associated with pruritus and oozing lesions.
Correct Answer is B
Explanation
Choice A rationale: Wearing gloves is appropriate when providing direct care to a client with shingles to prevent the spread of the virus.
Choice B rationale: Shingles is caused by the varicella-zoster virus, and it is highly contagious. Placing a client with shingles in a double room increases the risk of spreading the virus to other clients, especially those with compromised immune systems.
Choice C rationale: Wearing a gown is appropriate when there is a risk of contact with the client's lesions to prevent the spread of the virus.
Choice D rationale: While wearing a mask may be indicated for certain respiratory conditions, it is not typically required when caring for a client with shingles.
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