A client is evaluated after suffering severe burns to the torso and upper extremities. The nurse notes edema at the burned areas. Which best describes the underlying cause for this manifestation?
A) Decreased osmotic pressure in the burned tissue
B) Reduced vascular permeability at the site of the burned area
C) Increased fluids in the extracellular compartment
D) Inability of the damaged capillaries to maintain fluids in the cell walls
Answer: D
Burn shock occurs during the first 24-36 hours after the injury. During this period, there is an increase in microvascular permeability at the burn site. The osmotic pressure is increased, causing fluid accumulation. There is a reduction of fluids in the extracellular body compartments.
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