Question

Hesi- twelve hours after sustaining full-thickness burns to the chest and thighs a client who is on nothing-by-mouth status (npo) is reporting severe thirst. the client's urinary output has been 60 ml/hr for the past 10 hours. no bowel sounds are heard. what should the nurse do?

Answer 1

Answer:

The nurse should give fluids and water to the client.

Explanation:

The nurse should give water to the patient because the absence of bowel sounds means that the person has nothing in his or her digestive system. in other words, there is no food or fluids that can help to hydrate the body and if the person is thirsty, it means that his or her body is demanding water to help with dehydration.

Besides, the patient has the skin burned, so the natural barrier to stop dehydration ( the skin), is damaged. As the client can not retain water properly in his or her body, the person dehydrates quicker, so the client needs more fluids and water

Answer 2

The nurse should give fluid immediately.

In burns, the patient skin might be damaged to the point where it can no longer hold up the water. This will cause the patient to lose much water from the skin. It will be much more if the burns area is wide.
The client thirst, lower urinary output indicate a dehydration. Administering fluid via intravenous route is recommended if the patient can not do it orally.