A client with burns is experiencing edema in the interstitial spaces. Because the fluid accumulation impairs peripheral circulation, the nurse should assess the client for which complication?

1. Impaired mobility
2. An increase in cardiac output
3. Increased diuresis
4. Tissue necrosis


Answer: 4

1. This process is not going to impair mobility.
2. Fluid trapped in the interstitial spaces is pulled from the vascular volume, resulting in a decrease in cardiac output.
3. Fluid trapped in the interstitial spaces is pulled from the vascular volume, resulting in a decrease in diuresis.
4. The impaired circulation caused by the edema leads to a decrease in blood flow to tissues, which can in turn cause tissue death.

Nursing

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