When assessing a client with partial thickness burns over 60% of the body, which of the following should the nurse report immediately()
A. Complaints of intense thirst.
B. Moderate to severe pain.
C. Urine output of 70 mL the 1st hour.
D. Hoarseness of the voice.
参考答案:D
解析:
Hoarseness indicates injury to the respiratory system and could indicate the need for immediate intubation. Thirst following burns is expected because of the massive fluid shifts and resultant loss leading to dehydration. Pain, either severe or moderate, is expected with a burn injury. The client’s urine output is adequate.