{"id":140255,"date":"2024-09-19T05:41:02","date_gmt":"2024-09-19T05:41:02","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=140255"},"modified":"2024-09-19T05:41:04","modified_gmt":"2024-09-19T05:41:04","slug":"a-nurse-is-reviewing-the-medical-record-of-a-client-who-has-sustained-a-full-thickness-burn-and-is-in-the-emergent-phase-of-the-burn","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/19\/a-nurse-is-reviewing-the-medical-record-of-a-client-who-has-sustained-a-full-thickness-burn-and-is-in-the-emergent-phase-of-the-burn\/","title":{"rendered":"A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn"},"content":{"rendered":"\n<p>A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?<\/p>\n\n\n\n<p>A.<br>Hypernatremia<\/p>\n\n\n\n<p>B.<br>Hypercalcemia<\/p>\n\n\n\n<p>C.<br>Hypermagnesemia<\/p>\n\n\n\n<p>D.<br>Hyperkalemia<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>D. Hyperkalemia<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>In the emergent phase of a full-thickness burn, several physiological changes occur due to the extensive tissue damage and loss of skin integrity. One of the hallmark findings in this phase is hyperkalemia, which is an elevated level of potassium in the blood. This occurs for several reasons:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Cellular Destruction<\/strong>: Full-thickness burns result in the destruction of tissues and cells. When these cells are damaged, they release intracellular potassium into the extracellular fluid, leading to an increased potassium concentration in the bloodstream.<\/li>\n\n\n\n<li><strong>Hemoconcentration<\/strong>: The significant fluid loss associated with burns\u2014often due to plasma leakage from damaged capillaries\u2014can result in hemoconcentration. As blood volume decreases, the concentration of potassium increases, contributing to hyperkalemia.<\/li>\n\n\n\n<li><strong>Kidney Function<\/strong>: During the emergent phase, the kidneys may be overwhelmed due to the high levels of circulating potassium and decreased renal perfusion from hypovolemia. This reduced ability to excrete potassium further exacerbates hyperkalemia.<\/li>\n<\/ol>\n\n\n\n<p>In contrast, the other options\u2014hypernatremia, hypercalcemia, and hypermagnesemia\u2014are less commonly associated with the immediate aftermath of full-thickness burns:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hypernatremia<\/strong> (A) might occur later due to fluid shifts and salt retention but is not a primary finding in the immediate burn phase.<\/li>\n\n\n\n<li><strong>Hypercalcemia<\/strong> (B) is not typically related to burn injuries; it can be associated with conditions like hyperparathyroidism or malignancy.<\/li>\n\n\n\n<li><strong>Hypermagnesemia<\/strong> (C) is uncommon and typically would be related to renal failure or excessive intake, rather than the acute phase of burn injury.<\/li>\n<\/ul>\n\n\n\n<p>Monitoring electrolyte levels, particularly potassium, is crucial in burn patients to prevent complications such as cardiac arrhythmias, which can arise from significant hyperkalemia. Thus, recognizing the signs and managing electrolyte imbalances is a vital part of nursing care during the emergent phase of burn treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect? A.Hypernatremia B.Hypercalcemia C.Hypermagnesemia D.Hyperkalemia The Correct Answer and Explanation is: The correct answer is D. Hyperkalemia. Explanation: In the emergent phase [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140255","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140255","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140255"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140255\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140255"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140255"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}