The nurse is caring for a patient 3 days following a split-thickness burn injury from a fire. Which observation indicates that nursing interventions to promote cardiac output have been effective?
a. Blood pressure is 128/66 mmHg.
b. Radial pulses are thready at 112/min.
c. Urine output is 1050 mL in 24 hours.
d. Patient weight is 4 pounds less than admission weight.
ANS: A
Patients with burn injury are at risk for fluid volume deficit and decreased cardiac output. The blood pressure reading is normal and indicates adequate cardiac output. C. The urinary output is low and indicates fluid deficit because urine output should be maintained at least 50 mL/hr (1200 mL/24 hours). B. Thready peripheral pulses are indicative of low cardiac output. D. Weight loss could indicate fluid loss.
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