The nurse is planning care for a patient with severe burns. What condition should the nurse realize that this patient could develop?
1. intracellular fluid deficit
2. intracellular fluid overload
3. extracellular fluid deficit
4. interstitial fluid deficit
Correct Answer: 1
Because this patient was severely burned, the fluid within the cells is diminished, leading to an intracellular fluid deficit. The intracellular fluid is composed of all fluids that exist within the cell cytoplasm and nucleus. The extracellular fluid is composed of all fluids that exist outside the cell, including the interstitial fluid between the cells.
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The nurse is caring for a client with an intraosseous catheter placed in the leg 20 hours ago. Which assessment is of greatest concern?
a. Length of time catheter is in place b. Poor vascular access in upper extremities c. Affected leg cool to touch d. Site of intraosseous catheter placement
A nurse is working with a family who is unable to find adequate health care coverage for the children in the family. Which of the following pieces of legislation will assist in provision of health care coverage for these children?
a. Social Security Act b. Balanced Budget Act c. HIPAA d. ACA
How many times a day will the patient receive Heparin?
A. 2 times a day B. 3 times a day C. 4 times a day D. once a day
A nurse is teaching a client about lifestyle changes when taking a potassium-sparing diuretic. Which statement indicates a need for more teaching?
a. "I need to have my blood drawn frequently." b. "I need to call the clinic if I am urinating less than every 2 hours." c. "I need to be careful when out in the sun." d. "I need to eat foods like bananas frequently."