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A client with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The initial rate of administration is 1875 mL/hr. After the first 8 hours, what rate should the nurse infuse the IV fluids?

Answer and Explanation

The Correct Answer is ["937.5"]

Calculate the fluid volume to be administered in the remaining 16 hours:

Total fluid volume - Fluid administered in the first 8 hours = Remaining fluid volume

30,000 mL - (1875 mL/hr * 8 hr) = 15,000 mL

Calculate the infusion rate for the remaining 16 hours:

Remaining fluid volume / Remaining time = Infusion rate

15,000 mL / 16 hr = 937.5 mL/hr

Therefore, the nurse should infuse the IV fluids at a rate of 937.5 mL/hr after the first 8 hours.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. A small, mobile, rubbery lump is often benign, such as a fibroadenoma.

B. A nontender, fixed breast nodule is concerning for malignancy, and further evaluation is necessary, such as imaging or biopsy.

C. Tender, bilateral nodules are commonly seen in benign conditions like fibrocystic breast changes, especially related to the menstrual cycle.

D. A lump that changes in size before menstruation is also typical of benign conditions like fibrocystic changes.

A. It must be taken on an empty stomach. B. It must not be handled by pregnant women. C. It is given deep intramuscular injection to avoid tissue irritation. D. The client needs to be warned that hair loss is a common adverse effect.

Correct Answer is B

Explanation

A. Finasteride does not need to be taken on an empty stomach.

B. Finasteride can cause harm to a developing male fetus, and pregnant women should avoid handling it to prevent potential absorption through the skin.

C. Finasteride is an oral medication and is not administered as an intramuscular injection.

D. Hair loss is not a common adverse effect of finasteride; in fact, it is used to treat hair loss in men with benign prostatic hyperplasia.

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