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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
When monitoring the vital signs of the patient who has experienced a major burn injury, the nurse assesses a heart rate of 112 and a temperature of 99.9° F. Which of the following best describes the findings?
1. These values are normal for the patient’s post-burn injury condition.
2. The patient is demonstrating manifestations consistent with the onset of an infection.
3. The patient is demonstrating manifestations consistent with an electrolyte imbalance.
4. The patient is demonstrating manifestations consistent with renal failure.
5. The patient is demonstrating manifestations of fluid volume overload.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
1 -- The burn-injured patient is not considered tachycardic until the heart rate reaches 120 beats per minute. In the absence of other symptoms, the temperature does not signal the presence of an infection. It could be a response to a hypermetabolic response.
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