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?
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The primary concern in this scenario is urinary retention, which can lead to kidney dysfunction (indicated by elevated BUN and creatinine). The priority intervention is relieving the retention by inserting a Foley catheter, which will help restore normal urinary output and prevent further complications.
B. MRI is not an immediate priority when the client is at risk for kidney damage due to urinary retention.
C. While IV fluids may be necessary, the first priority is relieving the obstruction causing urinary retention.
D. Drawing blood is important for assessing the client's condition but is not as urgent as managing urinary retention.
Correct Answer is C
Explanation
A. Blood glucose elevation is a concern for statins, but it is not a primary reason for questioning the order.
B. A history of high cholesterol is common and would not trigger concern regarding lovastatin.
C. Lovastatin can cause liver toxicity, so elevated liver enzymes are a contraindication or cause for concern when prescribing this medication. The nurse should verify this before starting the medication.
D. A history of peptic ulcers is unrelated to the use of lovastatin and would not be a concern in this case.
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