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The Nurse Cares for a Client Admitted with Severe Burns

Question 77

Multiple Choice

The nurse cares for a client admitted with severe burns who is now on fluid resuscitation therapy.  Which assessment findings would best indicate that fluid resuscitation has been successful?


A) Heart rate 89/min, blood pressure 99/52 mm Hg
B) Potassium decrease from 5.7 mEq/L to 5.0 mEq/L (5.7 mmol/L to 5.0 mmol/L)
C) Urine output 31 mL/hr, respirations 20/min
D) Weight gain of 2.2 lbs (1 kg) in last 8 hours and palpable pulses

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