Pathophysiology of Burn Injury · NCLEX Exam

What is the primary reason for decreased urine output in early burn shock?

  1. A genuine increase in urine production by both kidneys after the burn
  2. Immediate intrinsic renal failure occurring in essentially all burns
  3. Reduced renal perfusion from hypovolemia and high vascular resistance
  4. Excessively high fluid intake simply diluting the urine being produced
Show answer and explanation

Correct answer: Reduced renal perfusion from hypovolemia and high vascular resistance

In burn shock, hypovolemia and vasoconstriction reduce renal blood flow, leading to oliguria despite preserved renal structure in the very early phase.

Difficulty: Medium Question 10 of 20

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