The nurse is caring for a client who has third-degree burns on 25% of her body. Which of the following is a goal for this client when managing fluid and electrolyte balance during burn care management?
A) Urinary output of 1 to 1.5 mL/kg/hour
B) Heart rate less than 120 beats per minute
C) Systolic blood pressure greater than 150 mm Hg
D) Decreased sodium levels
B
Feedback:
The client who has experienced burns loses body fluids from capillary leaks and open wounds and the nurse should give such individuals large quantities of sodium-containing fluids. The client usually has a retention catheter inserted and a nasogastric tube attached to suction. The goal is for a urinary output of 0.5 to 1 mL/kg/hour, heart rate less than 120 beats per minute, and systolic blood pressure greater than 100 mm Hg.
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