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. Weight loss is not typical in SIADH; instead, fluid retention often leads to weight gain.
B. SIADH causes excessive release of antidiuretic hormone, leading to water retention and dilutional hyponatremia (low sodium levels).
C. Polyuria (increased urine output) is not seen in SIADH; instead, clients usually have oliguria or decreased urine output.
D. Increased thirst is more associated with diabetes insipidus, not SIADH, where water retention decreases thirst.

A. Brudzinski's sign B. Nuchal rigidity C. Bradykinesia D. Kernig's sign

Correct Answer is D

Explanation

A. Brudzinski's sign is when flexion of the neck causes involuntary flexion of the hips and knees—this is a different physical response.
B. Nuchal rigidity refers to neck stiffness and is a general sign of meningeal irritation, not specific to leg extension.
C. Bradykinesia refers to slowness of movement, typically seen in Parkinson’s disease, not meningitis.
D. Kernig's sign is positive when the client experiences pain or resistance upon extending the leg at the knee from a flexed hip and knee position, indicating meningeal irritation as seen in meningitis.

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 had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

Correct Answer is B

Explanation

A nurse is assessing a client who has meningitis and notes that the client experiences pain with extension of their leg from a flexed positions. Which of the following conditions is the client displaying?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include In the plan?

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

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

A nurse is caring for a client who has been trending with elevated intracranial pressure (ICP) readings for some time. Which of the following findings should the nurse identify as signs indicating Cushing's Triad? (Select all that apply.)

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).

A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse Include to provide emotional support?