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A patient with 45% total body surface area (TBSA) burns and weighing 80 kg requires fluid resuscitation using the Parkland formula. How much fluid should be administered during the first 8 hours?

8,400 mL

7,200 mL

9,600 mL

5,400 mL

Answer and Explanation

The Correct Answer is B

Parkland formula: 4 mL × body weight (kg) × % TBSA = total fluid for 24 hours

Calculation: 4 × 80 × 45 = 14,400 mL in 24 hours

Half of this fluid (14,400 ÷ 2) = 7,200 mL should be administered in the first 8 hours.

The remaining half is given over the next 16 hours.

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Correct Answer is D

Explanation

A. 9% represents the total surface area of one arm (anterior and posterior combined), not both arms.
B. 12% is not a correct calculation based on the Rule of Nines.
C. 36% represents a much larger area, such as the entire trunk (anterior and posterior), not just the arms.
D. According to the Rule of Nines, each arm accounts for 9% of total body surface area (4.5% anterior + 4.5% posterior). Therefore, both arms (anterior and posterior) equal 18% total

A. CPAP is designed for more complex sleep and breathing disorders. B. BIPAP provides two different pressure settings for inhalation and exhalation. C. CPAP delivers two different pressure settings for inhalation and exhalation. D. BIPAP delivers a constant set pressure during inhalation and pressure relief during exhalation.

Correct Answer is B

Explanation

A. CPAP is typically used for simpler obstructive sleep apnea, while BiPAP is often used for more complex cases.
B. BiPAP delivers two different pressure levels: a higher pressure during inhalation (IPAP) and a lower pressure during exhalation (EPAP), which helps patients breathe more easily.
C. CPAP delivers a continuous, single pressure level throughout the breathing cycle, not two different pressures.
D. This describes CPAP rather than BiPAP.

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A patient with 45% total body surface area (TBSA) burns and weighing 80 kg requires fluid resuscitation using the Parkland formula. How much fluid should be administered during the first 8 hours?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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