During the first 24 hours after a major burn, which finding best indicates that fluid replacement is adequate in an adult patient?
Correct answer: A. Urine output remains about 0.5 mL/kg/hour
- A. Urine output remains about 0.5 mL/kg/hour
- B. Heart rate remains above 120 beats/minute
- C. Systolic pressure remains below 80 mmHg
- D. Urine becomes dark and concentrated
Explanation
Hourly urine output of about 0.5 mL/kg/hour in an adult is a practical indicator of adequate renal perfusion during burn resuscitation. Tachycardia, hypotension and concentrated urine suggest continuing circulatory compromise rather than adequate replacement.
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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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