In an industrial accident, a male client that weighs 155 lb (70 kg) sustained full-thickness burns over 40% of his body. He’s in the burn unit receiving fluid resuscitation

In an industrial accident, a male client that weighs 155 lb (70 kg) sustained full-thickness burns over 40% of his body.

He’s in the burn unit receiving fluid resuscitation.
Which observation shows that the fluid resuscitation is benefiting the client?

a- A urine output consistently above 100 ml/hour

b- A weight gain of 4 lb (2 kg) in 24 hours

c- Body temperature readings all within normal limits

d- An electrocardiogram (ECG) showing no arrhythmias

Answer A.
In a client with burns, the goal of fluid resuscitation is to maintain a mean arterial blood pressure that provides adequate perfusion of vital structures.
If the kidneys are adequately perfused, they will produce an acceptable urine output of at least 0.5 ml/kg/hour.
Thus, the expected urine output of a 155-lb client is 35 ml/hour, and a urine output consistently above 100 ml/hour is more than adequate.
Weight gain from fluid resuscitation isn’t a goal. In fact, a 4-lb weight gain in 24 hours suggests third spacing.
Body temperature readings and ECG interpretations may demonstrate secondary benefits of fluid resuscitation but aren’t primary indicators.