A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy.

The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Heart rate

Blood pressure

Weight

Urine output

Answer and Explanation

The Correct Answer is A

Choice A rationale:
A decrease in heart rate is an indication of adequate fluid replacement. As fluid volume is restored, the heart does not have to work as hard to pump blood, so the heart rate decreases.
Choice B rationale:
Blood pressure is not a reliable indicator of fluid volume status. It can be influenced by many factors, including pain, anxiety, and medications.
Choice C rationale:
Weight is not a reliable indicator of fluid volume status in the short term. It can take several days for changes in fluid volume to be reflected in weight.
Choice D rationale:
Urine output is a good indicator of kidney function, but it is not a reliable indicator of fluid volume status. Many factors can influence urine output, including kidney function, fluid intake, and medications.

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Correct Answer is A

Explanation

Choice A rationale:
Lifting heavy objects can increase intraocular pressure, which should be avoided after cataract surgery.
Choice B rationale:
Any drainage should be reported, not just white.
Choice C rationale:
Sleeping position won’t necessarily affect wound healing in this case.
Choice D rationale:
Bending at the waist can increase intraocular pressure, which should be avoided.

A. Aphasia. B. Inability to recognize his family members. C. Right hemiparesis. D. Difficulty reading.

Correct Answer is B

Explanation

Choice A rationale:
Aphasia, or difficulty with language, is typically associated with left hemisphere strokes.
Choice B rationale:
Right hemisphere strokes often result in difficulty recognizing familiar people and objects.
Choice C rationale:
Right hemiparesis, or weakness on the right side of the body, is typically associated with left hemisphere strokes.
Choice D rationale:
Difficulty reading is typically associated with left hemisphere strokes.

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A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy.

The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?