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    Ati nur2708 paediatrics final proctored exam

    A nurse is monitoring a 14 year old adolescent who was admitted with a severe burn injury and shock and is receiving IV fluid resuscitation therapy. Assessment findings: Temperature 36.5C, HR 122, Respirations 22, BP 108/68. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

    Explanation & Rationale

    A. Blood pressure may fluctuate but is less sensitive as an early indicator of fluid resuscitation efficacy. B. A decrease in heart rate is a sign of improved hydration status, as tachycardia is often a compensatory response to hypovolemia. C. Weight is not used as an immediate indicator for fluid resuscitation adequacy. D. Urine output should increase with adequate fluid resuscitation; a decrease in urine output would indicate worsening.

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