Final answer:
The most indicative finding of adequate fluid resuscitation in a burn client is a heart rate of 95 beats/minute, signifying restored circulatory volume and maintained vital organ perfusion; urine output of 30 mL over 2 hours is too low and suggests inadequate resuscitation.
Step-by-step explanation:
The finding that indicates adequate fluid resuscitation in a burn client would be a heart rate of 95 beats/minute. This is because during fluid resuscitation, the goal is to restore circulatory volume and maintain vital organ perfusion. An acceptable urine output for an adult is typically around 0.5 mL/kg/hour, which means for a standard adult weighing 70 kg, the expected urine output should be around 35 mL/hour. Therefore, a urine output of 30 mL over 2 hours indicates inadequate resuscitation, as it falls well below this threshold.
Disorientation can be a sign of inadequate perfusion to the brain, and while a disoriented patient might indicate other complications, it does not directly reflect the success of fluid resuscitation. Palpable peripheral pulses (+1) may be an indicator of circulation, but they are not as reliable as urine output and heart rate measures.
A heart rate of approximately 60-100 beats per minute is generally considered normal, so a heart rate of 95 beats per minute would suggest that fluid resuscitation is having a positive effect. It is important to monitor multiple physiological parameters for the most accurate assessment of fluid resuscitation efficacy.