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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Related Questions
Correct Answer is C
Explanation
Choice A rationale: this is important to assess the individual’s blood level and risk of infection but it is not a priority action compared to airway management.
Choice B rationale: The insertion of an indwelling urinary catheter is crucial for urine output monitoring but is not a priority action to take.
Choice C rationale: Inspection of the mouth for signs of inhalation injuries is a priority action for burns patients, especially those who have sustained facial burns since they can result in airway compromise and subsequent respiratory failure. The signs to look out for include; soot in the mouth and mouth, hoarseness, stridor, wheezes, or singed nasal hairs. In cases of suspected inhalation injuries, the nurse should inform the healthcare provider to assess for the need for intubation.
Choice D rationale: administration of analgesics is crucial for pain relief for all burn patients. However, this is not a priority action to take compared to airway management.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale: Laser therapy is not a standard or widely recommended treatment for psoriasis and is generally reserved for research or specialized cases.
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.
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