The nurse is admitting a client to the burn unit who has an approximate 25% total body surface area (TBSA) burn and the following initial laboratory results: Hct 56%, Hb 172 g/L, serum K+ 4.8 mmol/L, and serum Na+ 135 mmol/L. Which of the following actionsshould the nurse anticipate implementing?

Question

Quizplus · Accepted Answer

The client's laboratory data show hemoconcentration, which may lead to a decrease in blood flow to the microcirculation unless fluid intake is increased. Documentation and continuing to monitor are inadequate responses to the data. Since the hematocrit and hemoglobin are elevated, a transfusion is inappropriate, although transfusions may be needed after the emergent phase.

The Nurse Is Admitting a Client to the Burn Unit