An adult weighing 88 kg is brought to the emergency department after sustaining a thermal injury.
Burns are partial and full thickness over 38 According to the Parkland formula, what would this client's fluid requirements be for the first 24 hours after injury?
The Correct Answer is ["13376"]
This scenario requires calculating fluid resuscitation requirements for a burn patient. Knowledge of the Parkland formula is necessary to determine the total volume of isotonic crystalloids required based on weight and the percentage of total body surface area burned.
Step 1 is 4 mL × 88 kg × 38 percent.
Step 2 is 352 × 38.
Step 3 is 13376 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
The primary survey in trauma management focuses on life threatening conditions using the airway, breathing, circulation, disability, and exposure sequence. Knowledge of emergency stabilization techniques is required to prioritize rapid assessment and immediate interventions for physiological survival during the initial encounter.
Choice A rationale
Cervical spine stabilization prevents permanent spinal cord injury during airway management. In trauma, any mechanism of injury involving high velocity or impact requires strict spinal precautions until the spine is radiographically cleared or physically assessed for stability.
Choice B rationale
Obtaining a comprehensive history is part of the secondary survey, specifically the AMPLE assessment. The primary survey focuses only on immediate life threats and physiological stabilization, delaying detailed data collection until the client is determined to be stable.
Choice C rationale
Elevating the head of the bed may compromise spinal alignment before clearance and is not a priority in the ABCDE sequence. Management typically focuses on maintaining a flat, supine position on a backboard to protect the spine.
Choice D rationale
The Glasgow Coma Scale assessment is a core component of the disability portion of the primary survey. It provides a standardized method to evaluate neurological status, including eye opening, verbal response, and motor response to stimuli.
Choice E rationale
Prevention of hypothermia is the exposure and environment stage of the primary survey. Maintaining normothermia is vital because hypothermia can lead to coagulopathy and metabolic acidosis, forming a lethal triad that significantly increases trauma mortality..
Correct Answer is ["2300"]
Explanation
Step 1 is (25,000 units ÷ 250 mL) × 23 mL = 2,300 units per hour.
Final calculated answer is 2,300.
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