Ati med surg final proctored exam
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Explanation & Rationale
A. With adequate fluid replacement, urine output should increase (≥30 mL/hr), not decrease. B. Adequate fluid resuscitation should improve or stabilize blood pressure, not cause a decrease. C. Severe burns cause hypovolemia, which triggers tachycardia. Effective fluid replacement restores circulating volume, leading to a decrease in heart rate toward normal. D. Weight often increases during resuscitation due to fluid shifts and edema, so a decrease is not expected.
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