An adult weighing 194 lb is brought to the Emergency Department after sustaining a thermal injury. Burns are partial and full thickness over 38% of the body surface area. According to the Parkland formula using 4 mL, what would this client's fluid requirements be for the first 24 hours after injury?

A client was the driver of a compact automobile that had an impact on the driver's side; he wasn't wearing a seat belt at the time of the crash. He sustained severe abdominal injuries, bilateral fractured femurs, and a 4-cm laceration to the right arm. On arrival to the emergency department, the client was pale, diaphoretic, and talking incoherently. Vital signs on arrival were blood pressure, 50/40 mm Hg; heart rate, 130 beats/minute; respiratory rate, 36 breaths/minutes; and tympanic temperature, 98.2°F (36.8° C). This client has which type of shock?

Which of the following clinical manifestations are suggestive of the systemic inflammatory response syndrome (SIRS)? Select all that apply.

To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?

A nurse in an emergency room is caring for the client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?

A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash. Which of the following should the nurse identify as the priority focus of care?

The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select all that apply.

The client is admitted to the hospital with two of the systemic inflammatory response system (SIRS) variables: T: 95° F and high white blood cell count. What is the priority of care for the patient?

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

The nurse in the ICU is admitting a 57-year-old man with a diagnosis of possible septic shock. The nurse's assessment reveals that the patient has a normal blood pressure, increased heart rate, decreased bowel sounds, and cold, clammy skin. The nurse's analysis of these data should lead to what preliminary conclusion?