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    Hesi RN Exit Proctored ExamQuestion 37
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    Hesi RN Exit Proctored Exam

    A client who was rescued from a house fire is admitted to the burn unit with deep dermal, partial thickness (second degree) burns over approximately one-third of the back and upper thighs. The nurse begins administration of prescribed crystalloid fluids for the first 24-hours following the burn incident. Which physiological response is promoted by the administration of the fluids?

    Explanation & Rationale

    A. Fluid resuscitation due to capillary leaking is the primary goal when administering crystalloid fluids after burns. Severe burns lead to increased capillary permeability, causing fluid to leak into the interstitial space and necessitating resuscitation to restore intravascular volume. B. While extension of plasma volume is a consideration, the primary focus in burn management is addressing fluid resuscitation to compensate for fluid loss from capillary leakage rather than simply waiting for blood products. C. Replacement of insensible water loss occurs, but it is not the main physiological response targeted with crystalloid fluid administration in the acute phase after significant burns. D. Restoration of electrolyte balance is important, but the immediate concern following a burn is fluid resuscitation to maintain adequate circulation and prevent shock.

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