1510
Concordia University-Irvine
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1510 Exam 1 F&E
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1510 Exam 1 F&E 
 
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. - A 
The blood pressure indicates that the patient may be developing hypovolemic shock as a result of intravascular fluid loss due to the burn ...
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