Pathophysiology of Burn Injury · NCLEX Exam

Which electrolyte disturbance is most likely immediately after a major burn injury?

  1. Hypokalemia caused by a shift of potassium into the cells
  2. Hyperkalemia from cell lysis releasing intracellular potassium
  3. No appreciable change in the serum potassium concentration
  4. Hypocalcemia driven solely by increased parathyroid hormone
Show answer and explanation

Correct answer: Hyperkalemia from cell lysis releasing intracellular potassium

Deep burns cause cell damage and potassium release from intracellular space, leading to early hyperkalemia as an electrolyte disturbance.

Difficulty: Medium Question 11 of 20

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