The Nurse Is Caring for a Patient with a Massive

question 25

Multiple Choice

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.

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Definitions:

Roles

The functions or parts played by individuals or elements in a particular situation or process.

Flip Chart

A pad of large paper sheets on a stand used for displaying information in an interactive meeting or presentation.

Project Scope

The boundaries and extent of a project, defining what is included and excluded from the work to be done.

New Information

Newly acquired data or knowledge that was not previously known.