PLS 339
University Of Arizona
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Medical-Surgical-Nursing-Patient-Centered-Collaborative-Care-Single-Volume-7th-Edition-Test-Bank
- Exam (elaborations) • 14 pages • 2022
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. 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. Blood pressure is 90/40 mm Hg. 
b. Urine output is 30 mL over the last hour. 
c. Oral fluid intake is 100 mL for the last 8 hours. 
d. There is prolonged skin tenting over the sternum. 
ANS: A 
The blood pressure indicates that the patient may be developing hypovolemic shock as a result 
of intravascular fluid loss due to the burn injury. This ...
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