medium · NCLEX-RN risk-reduction
The nurse is caring for a client with severe burns during the first 24 hours of resuscitation. The client's serum potassium is 5.9 mEq/L and the hourly urine output has decreased from 50 mL/hr to 15 mL/hr.
How should the nurse interpret these findings?
- The client needs an immediate bolus of potassium-sparing diuretics.
- The potassium rise is an error because burn clients are typically hypokalemic.
- Acute kidney injury and cellular destruction are causing hyperkalemia and oliguria.
- The client is successfully compensating for the fluid shift of the 'ebb' phase.
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