Initial Burn Management and Airway Care · NCLEX Exam

What should be initiated for a burn patient with a large-surface-area burn (>20% TBSA) during the first 24 hours?

  1. Restrict fluids to limit tissue swelling
  2. Administer high-dose corticosteroids to reduce inflammation
  3. Begin isotonic crystalloid resuscitation and monitor urine output
  4. Withhold fluid therapy for the first 24 hours
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Correct answer: Begin isotonic crystalloid resuscitation and monitor urine output

Large burns (>20% TBSA) cause massive fluid shifts; early isotonic crystalloid resuscitation titrated to urine output is essential in the first 24 hours.

Difficulty: Medium Question 3 of 20

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