The nurse is caring for a 26-year-old male patient who was burned 72 hours ago. He has partial-thickness burns to 24% of his body surface area. He begins to excrete large amounts of urine. What should the nurse do?
a. Increase the IV rate and monitor for burn shock
b. Monitor for signs of seizure activity.
c. Assess for signs of fluid overload
d. Raise the foot of the bed and apply blankets
ANS: C
As the blood volume increases, the cardiac output increases to increase renal perfusion. The result includes diuresis. However, a great risk for the patient includes fluid overload because of the rapid movement of fluid back into the intravascular space.
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