Pathophysiology of Burn Injury · NCLEX Exam

Why is the extracellular sodium concentration often increased in early burn shock?

  1. Because the kidneys avidly retain sodium during early burn shock
  2. Because large amounts of sodium are lost through the urine output
  3. Because sodium shifts out of cells while plasma volume falls, concentrating it
  4. Because most circulating sodium becomes tightly bound to plasma proteins
Show answer and explanation

Correct answer: Because sodium shifts out of cells while plasma volume falls, concentrating it

Burn injury leads to sodium shift, loss of plasma volume, and concentration of remaining sodium in the intravascular space, elevating extracellular sodium levels.

Difficulty: Medium Question 12 of 20

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