A patient with third-degree burns is being treated with high-volume intravenous fluids and has a urine output of 40 mL per hour. What does the nurse realize about this urine output?
1. It is normal for this patient.
2. It is evidence that the patient is dehydrated.
3. It is evidence that the patient is overhydrated.
4. It is indicative of pending renal failure.
Correct Answer: 1
Intake and output measurements indicate the adequacy of fluid resuscitation and should range from 30 to 50 mL per hour in an adult. A urine output of 40 mL/hr does not indicate dehydration, overhydration, or pending renal failure.
You might also like to view...
A client presents with an inability to make decisions and function independently. The nurse knows these symptoms are indicative of which of the following disorders?
A) Schizoid personality disorder B) Dependent personality disorder C) Schizotypal personality disorder D) Paranoid personality disorder
During the course of assessing the family structure and behaviors of a pediatric patient's family, the nurse has identified a number of highly significant risk factors
Which of the following actions should the nurse prioritize when addressing these risk factors? A) Engage in appropriate health promotion activities. B) Validate the family's unique way of being. C) Enlist the help of community and social support. D) Introduce the family to another family that possesses fewer risk factors.
Describe three ways in which the nursing assistant can protect the patient's privacy.
What will be an ideal response?
A rectal temperature registers
A. one degree higher than oral. B. one degree lower than oral. C. one degree higher than axillary. D. one degree lower than axillary.