A patient with a severe burn is receiving intravenous fluid replacement. The urine output falls markedly despite continuing the prescribed infusion. Which action should the nurse take?
Correct answer: B. Assess the catheter and notify the clinician promptly
- A. Document the finding as an expected response
- B. Assess the catheter and notify the clinician promptly
- C. Restrict all fluids until the urine increases
- D. Administer a diuretic without a prescription
Explanation
A marked fall in urine output may indicate inadequate perfusion, catheter obstruction, or another complication during burn resuscitation. The nurse should check the drainage system and report the finding promptly rather than independently restricting fluids or giving a diuretic.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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