Free NCLEX RN Practice Questions Practice Question
The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?
Correct Answer: B
Rationale: Effective fluid resuscitation in burn clients is best indicated by urine output, as it reflects kidney perfusion and overall fluid balance. A urine output of 30 mL/hr suggests adequate renal function and hydration.
Respirations of 24, although unlabored, indicate a higher respiratory rate that may not directly correlate with fluid status. Capillary refill of less than 4 seconds is a good sign but is less specific than urine output for assessing fluid resuscitation effectiveness. An apical pulse of 110/min indicates tachycardia, which can occur due to hypovolemia or stress, making it a less reliable indicator of successful resuscitation.
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