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A child weighing 22 pounds is trapped in a house fire and sustains a burn injury. The total body surface area (TBSA) affected by burns is found to be 40%. The Parkland formula for fluid resuscitation is used to calculate the amount of fluid the child requires. The nurse determines that the child will receive how many milliliters of fluid in the first 8 hours after the time of injury?

Answer and Explanation

The Correct Answer is ["800"]

The Parkland formula is commonly used to calculate the fluid requirements for burn resuscitation. The formula is:

Fluid requirement (in mL)=TBSA×Weight (in kg)×Fluid volume (in mL/kg)

For burn patients, the recommended fluid volume is typically 4 mL/kg for each percent of TBSA burned.

Let's calculate the fluid requirement for the given case:

Fluid requirement=40%×22 lbs×4 mL/kg

First, convert the weight from pounds to kilograms:

Weight (in kg)= Weight (in lbs)/2.2

Weight (in kg)=22 lbs/2.2≈10 kg

Now, calculate the fluid requirement:

Fluid requirement=40% x 10 kg × 4 mL/kg

Fluid requirement=1600mL (total fluid over 24 hours)

Fluid for the first 8 hours:

1600/2=800ml

Thus, the child will receive 800 mL of fluid in the first 8 hours after the burn injury.

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Correct Answer is A

Explanation

A. Contact the assigned emergency room physician to evaluate the need for an advanced airway
Explanation:
Epiglottitis is a medical emergency that can rapidly progress to airway obstruction. The classic signs and symptoms include a high fever, difficulty swallowing, voice hoarseness, inspiratory stridor, and sternal retractions. Immediate intervention may be necessary to secure the airway. Therefore, contacting the emergency room physician to evaluate the need for an advanced airway (such as intubation) is a priority.
B. Administer intravenous corticosteroids
Explanation: While corticosteroids may be used in the management of epiglottitis to reduce airway inflammation, securing the airway is the priority in the acute phase. Corticosteroids would typically be administered after securing the airway.
C. Obtain a throat culture
Explanation: Obtaining a throat culture is not the immediate priority in the case of suspected epiglottitis. Prompt intervention to secure the airway takes precedence over diagnostic tests.
D. Inspect the throat to obtain further data to support the diagnosis
Explanation: Direct visualization of the throat (inspection) may exacerbate the airway obstruction and is not recommended in the acute management of suspected epiglottitis. The priority is to secure the airway while minimizing agitation and discomfort for the child. Diagnostic procedures, such as obtaining a throat culture, can be considered after the airway is stabilized.

A. Use a padded tongue blade. B. Position the child laterally. C. Restrain the child's arms. D. Attempt to stop the seizure.

Correct Answer is B

Explanation

A. Use a padded tongue blade:
Incorrect: Inserting anything into the child's mouth, including a padded tongue blade, is not recommended during a seizure. It can lead to oral and airway injuries. It's important to keep the airway clear, but this is achieved by positioning the child laterally.
B. Position the child laterally.
Correct Answer: This is the correct action. Placing the child on their side helps prevent aspiration of fluids and promotes a clear airway during the seizure. It also reduces the risk of injury.
C. Restrain the child's arms:
Incorrect: Restraining the child's arms can increase the risk of injury and is not recommended during a seizure. It's crucial to ensure a safe environment and prevent injury, but physically restraining the child is not the appropriate approach.
D. Attempt to stop the seizure:
Incorrect: It is not within the nurse's capacity to immediately stop a seizure. Seizures are neurological events, and they need to run their course. The focus should be on ensuring the safety of the child during the seizure.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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