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The Nurse Is Caring for a Patient with a Massive

Question 2

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) Urine output is 30 mL/hr.
B) Blood pressure is 90/40 mm Hg.
C) Oral fluid intake is 100 mL for the past 8 hours.
D) There is prolonged skin tenting over the sternum.

Correct Answer:

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