The Nurse Is Caring for a Client with Deficient Fluid

question 17

Multiple Choice

The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse?

• A)The 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:

Seventeenth Century

refers to the period from 1601 to 1700 in the Gregorian calendar, marked by significant cultural, political, and scientific developments.

Jamestown Colony

The first permanent English settlement in North America, established in 1607 in present-day Virginia.

John Smith

An English soldier, explorer, colonial governor, and one of the founding leaders of the Jamestown colony in Virginia in the early 17th century.

Military Discipline

The practice of training people in the military to follow orders, rules, and procedures with a high level of rigor and precision.