Question

A burn client is in the acute phase of burn care. The nurse assesses jugular vein distention, edema, urine output of 20 mLin two hours, and crackles on auscultation. Which order would the nurse anticipate from the physician?

Furosemide (Lasix) 40 mg IV push
Irrigate the Foley catheter
Increase the IV fluids to 200mL/hr
Place the client in Trendelenburg position

Answer 1

The nurse would anticipate an order of Furosemide (Lasix) 40 mg IV push to address the symptoms of fluid overload in a patient in the acute phase of burn care.

Step-by-step explanation:

The patient who is in the acute phase of burn care and presenting with jugular vein distention, edema, low urine output, and crackles on auscultation is showing signs of fluid overload. The nurse should anticipate that the physician would order a diuretic, specifically Furosemide (Lasix) 40 mg IV push, to help reduce the excess fluid and improve the patient's symptoms.

Increasing IV fluids would likely exacerbate the fluid overload, irrigating the Foley catheter is not indicated based on the symptoms described, and placing the patient in the Trendelenburg position is not the standard intervention for fluid overload and could lead to other complications.