A burn patient is brought to the emergency department. The nurse knows that the first systemic event after a major burn injury is what?
A) Hemodynamic instability
B) Metabolic acidosis
C) Hypovolemia
D) Hyperkalcemia
Ans: A
Feedback: The initial systemic event after a major burn injury is hemodynamic instability, which results from loss of capillary integrity and a subsequent shift of fluid, sodium, and protein from the intravascular space into the interstitial spaces. Options B, C, and D occur, they are just not the first event to happen.
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