QUESTION IMAGE
Question
the nurse is assisting in the care of a group of clients on the nursing unit. when considering the effects of each medical diagnosis, the nurse determines that which client has the least risk for developing third spacing of fluid? answer options 1 client with a major burn 2 client with an ischemic stroke 3 client with laennecs cirrhosis 4 client with chronic kidney disease
Third - spacing refers to the abnormal accumulation of fluid in a body compartment. Major burns can cause significant fluid shifts due to increased capillary permeability. Laennec's cirrhosis (liver cirrhosis) can lead to decreased albumin production (albumin helps maintain fluid in the vascular space) and portal hypertension, both of which can contribute to fluid shifts. Chronic kidney disease can cause fluid overload and electrolyte imbalances that may lead to fluid shifts. An ischemic stroke, while it can have local effects (such as cerebral edema), generally has a lower risk of causing widespread third - spacing compared to the other conditions.
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- Client with an ischemic stroke