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What important assessment data will help the nurse ensure accurate fluid replacement for a client with burns?

A. Vital signs and presence of edema

B. Age, weight, vital signs, and tissue turgor

C. Urine output, mucous membrane hydration, and orientation

D. Capillary refill, specific gravity of urine, and blood pressure readings

1 Answer

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Final answer:

The nurse should consider vital signs, presence of edema, age, weight, tissue turgor, urine output, mucous membrane hydration, orientation, capillary refill, specific gravity of urine, and blood pressure readings for accurate fluid replacement for a client with burns.

Step-by-step explanation:

The important assessment data that will help the nurse ensure accurate fluid replacement for a client with burns includes:

A. Vital signs and presence of edema: Monitoring the client's vital signs, such as heart rate, breathing rate, blood pressure, and temperature, can help determine the severity of fluid loss and guide fluid replacement therapy. Edema, or swelling, can also indicate fluid imbalance.

B. Age, weight, vital signs, and tissue turgor: Age and weight can affect the client's fluid needs. Monitoring vital signs and assessing tissue turgor (skin elasticity) can help evaluate hydration status.

C. Urine output, mucous membrane hydration, and orientation: Monitoring urine output can assess kidney function and fluid balance. Checking mucous membrane hydration (such as dryness or moistness) and the client's mental orientation can provide additional information about hydration status.

D. Capillary refill, specific gravity of urine, and blood pressure readings: Capillary refill time (the time it takes for blood to return to capillaries after pressure is applied) can indicate circulatory status. Measuring the specific gravity of urine can help assess kidney function and hydration levels. Blood pressure readings can provide information about circulatory stability.

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