A 50-year-old patient with 60% total body surface area (TBSA) burn and a weight of 70 kg requires fluid resuscitation. Using the Parkland formula, how much total fluid volume should be administered in the first 24 hours?
16,800 mL
18,000 mL
14,000 mL
12,600 mL
The Correct Answer is A
A. 16,800 mL is correct based on the formula.
The Parkland formula is:
4 mL × body weight (kg) × %TBSA burned
= 4 × 70 × 60
= 16,800 mL total fluid in 24 hours
B. 18,000 mL overestimates the requirement.
C. 14,000 mL underestimates the fluid needed.
D. 12,600 mL is too low for a 60% TBSA burn in a 70 kg patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pulse oximetry indicates oxygenation but does not confirm tube placement.
B. Blood gas analysis provides information about ventilation and oxygenation but does not confirm tube position.
C. Auscultation with a stethoscope helps assess placement but is not definitive.
D. Chest X-ray is the gold standard for final confirmation of endotracheal tube placement, ensuring the tube tip is correctly positioned above the carina.
Correct Answer is D
Explanation
A. Inserting a urinary catheter is important for monitoring fluid status but is not the immediate priority.
B. Drawing blood for labs is necessary but not the first concern in a potentially life-threatening situation.
C. Pain management is important, but airway assessment takes precedence.
D. Inspecting the mouth for signs of inhalation injury is the priority because facial burns increase the risk of airway compromise. Airway management is the first priority in emergency burn care to prevent respiratory failure.
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