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    RN Medical Surgical HESI Proctored Exam

    Exhibits Select two conditions and two client finding to fill in each blank in the sentence. Separate using a comma. The client has dropdown , which can cause dropdown such as airway obstruction, bronchospasm, and pulmonary edema. The client also has dropdown, which can lead to dropdown such as hyponatremia, hyperkalemia, and metabolic acidosis.

    Explanation & Rationale

    The client has inhaled smoke, which can cause respiratory problems such as airway obstruction, bronchospasm, and pulmonary edema. The client also has initial fluid shifts, which can lead to electrolyte imbalance such as hyponatremia, hyperkalemia, and metabolic acidosis. Choice A: inhaled smoke - respiratory problems This is a correct choice. Inhaled smoke can damage the respiratory system by causing inflammation, edema, and carbon monoxide poisoning. Choice B: initial fluid shifts - electrolyte imbalance This is a correct choice. Initial fluid shifts occur when fluid moves from the intravascular space to the interstitial space due to increased capillary permeability. This can result in electrolyte imbalance such as low sodium, high potassium, and low bicarbonate levels. Choice C: increased cardiac output - high blood sodium levels This is an incorrect choice. Increased cardiac output is not a condition that occurs in burn patients. High blood sodium levels are not a common finding in burn patients either. High blood sodium levels can occur due to dehydration or excessive sodium intake. Choice D: decreased catecholamines - hypometabolism This is an incorrect choice. Decreased catecholamines are not a finding in burn patients. Catecholamines are hormones that increase heart rate, blood pressure, and metabolism in response to stress. Burn patients have increased catecholamines due to pain and tissue injury. Hypometabolism is also not a condition that occurs in burn patients. Hypometabolism is a state of low metabolic rate that can occur due to starvation, hypothyroidism, or hypothermia. Burn patients have increased metabolism due to increased energy demands for wound healing and thermoregulation.

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