Complete the question using the chart information provided. A burn victim has arrived in the ER and is being treated for a major burn injury. The nurse is assessing the client and monitoring for complications. Review the chart and answer the questions regarding the care of a burn victim. (Each category must have at least 1 response option selected) System Assessment Priority findings Cardiac Electrolyte imbalances Increased Frequency of PVCS Bradycardia Respiratory Pox reading of 95% on 4 liter NC stridor like respirations oral or nasal soot Renal Elevated serum myoglobin UOP less than 30ml/hour UOP greater than 100mL/hour Note: Each category must have at least 1 response option selected.

Cardiac: Electrolyte imbalances Increased frequency of PVCs Respiratory: Stridor-like respirations Oral or nasal soot Renal: Elevated serum myoglobin UOP less than 30 mL/hour Rationale: Cardiac: Electrolyte imbalances: The potassium is elevated at 5.8 mEq/L, which contributes to dysrhythmias like PVCs. Increased frequency of PVCs: Frequent PVCs indicate cardiac irritability, often related to electrolyte disturbances and hypovolemia in burns. Bradycardia is not supported by the chart; heart rate is elevated at 130 bpm indicating tachycardia. Respiratory: Stridor-like respirations: Indicates upper airway obstruction, a critical sign of inhalation injury. Oral or nasal soot: Suggests potential inhalation of smoke or toxins, a major risk factor for respiratory compromise. Pox 95% on 4L NC is low-normal but not a priority finding compared to active signs of airway injury. Renal: Elevated serum myoglobin: Indicates muscle breakdown (rhabdomyolysis), which can obstruct renal tubules and cause acute kidney injury. UOP less than 30 mL/hour: The insertion of a Foley with only 25 mL of dark urine suggests decreased renal perfusion and myoglobinuria. UOP greater than 100 mL/hour is not indicated in the assessment.