When the nurse is evaluating lab data for a client 18C24 hours after a major thermal burn, the expected physiological changes would include which of the following?

When the nurse is evaluating lab data for a client 18C24 hours after a major thermal burn, the expected physiological changes would include which of the following?
A . Elevated serum sodium
B . Elevated serum calcium
C . Elevated serum protein
D . Elevated hematocrit

View Answer

Answer: D

Explanation:

(A) Sodium enters the edema fluid in the burned area, lowering the sodium content of the vascular fluid. Hyponatremia may continue for days to several weeks because of sodium loss to edema, sodium shifting into the cells, and later, diuresis.

(B) Hypocalcemia occurs because of calcium loss to edema fluid at the burned site (third space fluid).

(C) Protein loss occurs at the burn site owing to increased capillary permeability. Serum protein levels remain low until healing occurs.

(D) Hematocrit level is elevated owing to hemoconcentration from hypovolemia. Anemia is present in the postburn stage owing to blood loss and hemolysis, but it cannot be assessed until the client is adequately hydrated.