CMSRN Medical-Surgical Nursing

Category - Hematological

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The nurse is administering fluids intravenously as prescribed to a client who sustained superficial partial-thickness burn injuries of the back and legs. In evaluating the adequacy of fluid resuscitation, the nurse understands that which of the following would provide the most reliable indicator for determining the adequacy?

Vital signs
Urine output
Mental status
Peripheral pulses

Explanation

Answer - B - The most reliable indicator for determining adequacy of fluid resuscitation is the urine output. For an adult, the hourly urine volume should be 30-50 ml.

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