ATI Pediatrics Exam 2 | Nurselytic

Questions 62

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ATI Pediatrics Exam 2 Questions

Extract:

A school-age child with full-thickness burns to 30% of the total body surface area (TBSA).


Question 1 of 5

A nurse is caring for a school-age child who has full-thickness burns to 30% of the total body surface area (TBSA). The nurse is initiating the client's plan of care. Complete the following sentence by using the list of options. The client is at highest risk for developing __, evidenced by the client's __.

Correct Answer: A,E

Rationale: The correct answer is A and E. Full-thickness burns to 30% TBSA can lead to hypovolemia due to fluid loss through the damaged skin. This results in decreased urine output as the body conserves fluids. Hypovolemia can lead to electrolyte imbalances, including hyperkalemia, hypocalcemia, and hypernatremia. However, hyperkalemia, hypocalcemia, and hypernatremia are not the highest risk initially. Decreased urine output is a direct result of hypovolemia and is a key sign of fluid imbalance in burn patients.
Therefore, options A and E are the most immediate concerns for the nurse to address in the care plan.

Extract:


Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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