A nurse is caring for a client weighing 160 lbs. who sustained burn injuries to both legs completely. There's a pending order for 0.9% sodium chloride. How much fluid is the client to receive for the first 24 hours? (Round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["10","472"]

Both legs account for approximately 36% of total body surface area (18% per leg × 2).

Convert weight to kilograms: 160 lbs ÷ 2.2 = 72.73 kg

Using the Parkland formula:
4 mL × 72.73 kg × 36 = 10,472 mL of fluid for the first 24 hours

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Correct Answer is B

Explanation

A. Numbness of fingers is more commonly associated with respiratory alkalosis due to decreased carbon dioxide causing vasoconstriction.
B. Lethargy is a common symptom of respiratory acidosis because elevated carbon dioxide levels depress the central nervous system.
C. Abdominal pain is not a typical finding in respiratory acidosis.
D. Dry skin is not commonly related to respiratory acidosis.

A. Reduce physical therapy time for rest. B. Assess legs for redness. C. Perform passive range of motion exercises. D. Massage the calves every shift. E. Apply elastic compression stockings.

Correct Answer is ["B","C","E"]

Explanation

A. Reducing physical therapy time may increase risk of venous stasis; activity or movement should be encouraged within tolerance.
B. Assessing legs for redness helps detect signs of deep vein thrombosis (DVT), a risk factor for PE.
C. Passive range of motion exercises promote circulation and reduce venous stasis.
D. Massaging calves is contraindicated if DVT is suspected because it may dislodge a clot causing PE.
E. Elastic compression stockings help improve venous return and reduce risk of clot formation.

View Question and Answer

A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

Which 4 findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

View Question and Answer

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A nurse is caring for a client weighing 160 lbs. who sustained burn injuries to both legs completely. There's a pending order for 0.9% sodium chloride. How much fluid is the client to receive for the first 24 hours? (Round to the nearest whole number.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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