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.)
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Clients with ARDS often require careful fluid management to avoid fluid overload; oral fluids may be restricted or monitored.
B. Prone positioning, often with kinetic therapy beds, improves oxygenation by enhancing ventilation-perfusion matching in ARDS patients.
C. Tube feedings are usually continued to maintain nutrition even while the client is intubated.
D. Low flow oxygen can be used initially, but many ARDS clients require high-flow oxygen or mechanical ventilation.
Correct Answer is A
Explanation
A. Tachycardia is an early compensatory sign of hypovolemic shock due to decreased circulating volume.
B. Increased temperature suggests infection or inflammation, not hypovolemic shock.
C. A slight decrease in urine output from 120 to 115 mL/hr is not significant; oliguria would be a more concerning sign.
D. A decrease in respiratory rate is not typical of hypovolemic shock, which usually causes tachypnea.
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