The nurse is assessing a male client admitted with second-and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem?
A. Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg
B. Urine output of 20 ml/hour
C. White pulmonary secretions
D. Rectal temperature of 100.6° F (38° C)
Correct Answer: B. Urine output of 20 ml/hour
A urine output of less than 40 ml/hour in a client with burns indicates a fluid volume deficit.
Option A: This client’s PaO2 value falls within the normal range (80 to 100 mm Hg).
Option C: White pulmonary secretions also are normal.
Option D: The client’s rectal temperature isn’t significantly elevated and probably results from the fluid volume deficit.