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    Ati ew n300 med surg final proctored exam

    The nurse is caring for a patient with severe, major burns who is receiving fluid resuscitation per protocol. Which of the following assessments indicate a positive outcome?

    Explanation & Rationale

    A. Blood pressure 80/46 (MAP 58) is low, indicating poor perfusion and possible shock, which is not a positive outcome. B. Heart rate of 132 beats per minute is tachycardia, suggesting ongoing stress or hypovolemia. C. Serum sodium level of 149 mEq/L is slightly elevated, indicating possible dehydration or electrolyte imbalance. D. Urine output of 0.5-1 mL/kg/hr indicates adequate kidney perfusion and fluid resuscitation, reflecting a positive response to treatment.

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