The nurse is assessing a male client admitted with second- and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem?
a. Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg
b. Urine output of 20 ml/hour
c. White pulmonary secretions
d. Rectal temperature of 100.6° F (38° C)
Answer B.
A urine output of less than 40 ml/hour in a client with burns indicates a fluid volume deficit. This client’s PaO2 value falls within the normal range (80 to 100 mm Hg). White pulmonary secretions also are normal. The client’s rectal temperature isn’t significantly elevated and probably results from the fluid volume deficit.
a. Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg
b. Urine output of 20 ml/hour
c. White pulmonary secretions
d. Rectal temperature of 100.6° F (38° C)
Answer B.
A urine output of less than 40 ml/hour in a client with burns indicates a fluid volume deficit. This client’s PaO2 value falls within the normal range (80 to 100 mm Hg). White pulmonary secretions also are normal. The client’s rectal temperature isn’t significantly elevated and probably results from the fluid volume deficit.