34. Which solution will a client most likely receive for fluid replacement in the first 24 hours after a burn injury that covers a large area?
34. Which solution will a client most likely receive for fluid replacement in the first 24 hours after a burn injury that covers a large area?
Test-Taking Tip
Look for a solution that will not contribute to any shift of fluids or electrolytes in the first 24 hours.
Content Area: Adult Health, Fluid and Electrolyte Imbalances; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Parenteral/Intravenous Therapies
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Answer 1 is incorrect because dextrose can cause a pseudodiabetes during the first 24 hours after a burn. Answer 2 is correct because a crystalloid, such as lactated Ringer's, will correct the volume deficit, sodium loss, and metabolic acidosis that is present in the client with burns. Answer 3 is incorrect because colloids, such as Dextran or albumin, are not used for primary fluid replacement. Answer 4 is incorrect because this client would be hyperkalemic and should not receive additional K+. NS without K+ would be appropriate for fluid replacement.
