A nurse on the burn unit is caring for a patient who has gone into the acute phase of her burn. What would be important for the nurse to monitor the patient for?
A) Hypometabolism
B) Hyponatremia
C) Hyperkalemia
D) Hypoglycemia
Ans: B
Feedback: Hyponatremia is common during the first week of the acute phase, as water shifts from the interstitial space to the vascular space. Hypermetabolism can occur up to 1 year after the burn. Hyperkalemia occurs in the emergent phase of the burn. In a burn patient there is a hyperglycemic response, not a hypoglycemic response.
You might also like to view...
A mother says to the nurse, "I know I should be feeling an empty nest sadness now that our youngest has left for college—but mainly I'm dying to turn his room into my craft room. Do you think that's normal for a mom?
I really do love my kids." Which of the following would be the most appropriate response by the nurse? a. "Hmm, that is unusual. Would you like me to make an appointment with a psychologist for you?" b. "Maybe you've always wanted to be an artist and now you can, so enjoy the feelingâ€"and the room!" c. "You're probably trying to put a positive spin on the situation to keep feelings of sadness at bay." d. "Very normal; you've launched your family and now you can devote attention to your own life and preferencesâ€"such as crafts." e. "Would you like to talk about how you feel?"
A nursing instructor has completed teaching a class on anesthesias used during labor. Which of the following was identified by a student as a form of regional anesthesia would indicate to the instructor that further teaching is needed?
a. General block c. Spinal block b. Epidural d. Subarachnoid block
A number of changes in the integumentary system occur during pregnancy. Which of the following changes will persist after birth?
1. Epulis 2. Chloasma 3. Telangiectasia 4. Striae gravidarum
Having misplaced his stethoscope, a nurse borrows a colleague's stethoscope. He next enters the patient's room and identifies himself, washes his hands with soap, and states the purpose of his visit
He performs proper identification of the patient before he auscultates her lungs. Which critical health assessment step was not performed? a. Running warm water over stethoscope for patient comfort b. Cleaning stethoscope with Betadine c. Using alcohol-based hand disinfectant d. Cleaning stethoscope with alcohol