Which of the following assessment findings would indicate to the nurse that a trauma patient is developing a complication?
1. temperature 99.8 degrees Fahrenheit
2. urine output 10 cc per hour
3. respiratory rate 18 and regular
4. heart rate 94 and regular
2
Rationale: The normal urine output should be 30 cc per hour. For some patients being treated after a traumatic injury, the urine output is desired to be 50 cc per hour. The patient with a urine output of 10 cc per hour after a traumatic injury could indicate a reduced blood flow to the kidneys or evidence of acute renal failure. The other vital signs would be considered near normal for a patient recovering from a traumatic injury.
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