What is the initial symptom of fluid overload the nurse should monitor in a client receiving IV fluids for burns?

The initial symptom of fluid overload that the nurse should monitor in a client receiving IV fluids for burns is the presence of crackles in the lungs. Fluid overload can lead to pulmonary congestion, where excess fluid accumulates in the lungs, making it challenging for the patient to breathe effectively. Crackles are abnormal lung sounds that can indicate the accumulation of fluid in the alveoli, which occurs with conditions like pulmonary edema. Monitoring lung sounds and being vigilant for crackles is crucial, particularly in patients receiving large volumes of IV fluids, as it can be an early indicator of complications.

While elevated blood pressure can occur with fluid overload, it is not the most immediate or specific symptom that reflects pulmonary involvement. Similarly, changes like cyanosis or decreased heart rate are also critical, but crackles provide a direct assessment of lung function and fluid status. Therefore, recognizing crackles as a sign of fluid overload enables timely intervention to manage the patient's respiratory status effectively.