PLS 339
University Of Arizona
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Medical-Surgical-Nursing-Patient-Centered-Collaborative-Care-Single-Volume-7th-Edition-Test-Bank
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. The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which
assessment data will be of most concern to the nurse?
a. Blood pressure is 90/40 mm Hg.
b. Urine output is 30 mL over the last hour.
c. Oral fluid intake is 100 mL for the last 8 hours.
d. There is prolonged skin tenting over the sternum.
ANS: A
The blood pressure indicates that the patient may be developing hypovolemic shock as a result
of intravascular fluid loss due to the burn injury. This ...
Exam (elaborations)
Medical-Surgical-Nursing-Patient-Centered-Collaborative-Care-Single-Volume-7th-Edition-Test-Bank
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ago
. The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse? a. Blood pressure is 90/40 mm Hg. b. Urine output is 30 mL over the last hour. c. Oral fluid intake is 100 mL for the last 8 hours. d. There is prolonged skin tenting over the sternum. ANS: A The blood pressure indicates that the patient may be developing hypovolemic shock as a result of intravascular fluid loss due to the burn injury. This ...
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