NCLEX-RN · Question #575
A male client is being treated in the burn unit for thirddegree burns on his head, neck, and upper chest received in the last 24 hours. The nurse is evaluating the effectiveness of fluid…
The correct answer is C. His urine output has been>35 mL/hr for the past 12 hours. (A) A weight gain of 10 lb represents a state of overhydration. (B) He is losing fluids through insensible losses; a urine output equal to his intake indicates that he is receiving too little fluids. (C) A urine output greater than his intake indicates that he is receiving…
Question
A male client is being treated in the burn unit for thirddegree burns on his head, neck, and upper chest received in the last 24 hours. The nurse is evaluating the effectiveness of fluid resuscitation. Which of the following indicates effective fluid balance?
Options
- AHis weight increases from 165 to 175 lb.
- BHis urine output is equal to his total fluid intake.
- CHis urine output has been>35 mL/hr for the past 12 hours.
- DHis blood pressure is 94/62.
How the community answered
(44 responses)- A20% (9)
- B5% (2)
- C64% (28)
- D11% (5)
Explanation
(A) A weight gain of 10 lb represents a state of overhydration. (B) He is losing fluids through insensible losses; a urine output equal to his intake indicates that he is receiving too little fluids. (C) A urine output greater than his intake indicates that he is receiving adequate fluid resuscitation to account for urinary and insensible losses. (D) A blood pressure of 94/62 indicates a state ofunderhydration and inadequate circulatory
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