A client was rushed to the emergency department after sustaining burn injuries to their anterior trunk fully 8 hours ago. The client weighs 220 lbs and has been given their initial fluid bolus dose. At what rate per hour should the nurse set the IV pump for the remaining 16 hours? (Round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["225"]

4 mL × body weight (kg) × % total body surface area (TBSA) burned = total fluid requirement in the first 24 hours

Half of this volume is given in the first 8 hours post-burn (from the time of injury).

The remaining half is given over the next 16 hours.

Step 1: Convert weight from pounds to kilograms
220 lbs ÷ 2.2 = 100 kg

Step 2: Determine % TBSA burned
anterior trunk burns, which corresponds to 18% TBSA (anterior trunk is about 18%).

Step 3: Calculate total fluid volume for 24 hours
4 mL × 100 kg × 18 = 7200 mL total in 24 hours

Step 4: Calculate remaining fluid to give over the next 16 hours
Half (first 8 hours) = 7200 ÷ 2 = 3600 mL (already given)
Remaining 16 hours = 3600 mL

Step 5: Calculate the hourly rate
3600 mL ÷ 16 hours = 225 mL/hour

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Free Nursing Study Resources

Correct Answer is "{\"xRanges\":[73.328125,113.328125],\"yRanges\":[281,321]}"

Explanation

This is where the left dorsalis pedis artery runs and is the most distal pulse that can be palpated on the lower extremity. Assessing it helps determine adequate peripheral circulation post-procedure and ensures there is no arterial compromise due to catheterization.

A. "Dead tissue will be non-surgically removed." B. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area." C. "Large incisions will be made in the eschar to improve circulation." D. "This procedure involves placing the client into a shower and removing the dead tissue."

Correct Answer is C

Explanation

A. Non-surgical removal of dead tissue is called debridement, not escharotomy.
B. Skin grafting involves transplanting healthy skin, but this is not the same as an escharotomy.
C. Escharotomy involves making large incisions through the hardened burned tissue (eschar) to relieve pressure and restore circulation.
D. Showering to remove dead tissue refers to wound cleaning, not escharotomy.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[73.328125,113.328125],\"yRanges\":[281,321]}"

Explanation

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is C

Explanation

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