client who suffered burn injuries to their face and entire left arm is to receive lactated ringers. The client weighs 73 kg. How much fluid will be infused for the first 8 hours? (Round to the nearest whole number).

Answer and Explanation

The Correct Answer is ["1971"]

Face: 4.5%

Left arm: 9%

Total TBSA = 4.5 + 9 = 13.5%

Fluid needed in 24 hours = 4 mL × 73 kg × 13.5 = 3942 mL (rounded)

Half of this is given in the first 8 hours: 3942 ÷ 2 = 1971 mL

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Free Nursing Study Resources

Correct Answer is ["A","B","F","G"]

Explanation

A. Assessment of lower extremities. The presence of edema can indicate fluid retention due to impaired kidney function, which may occur with transplant rejection.

B. Blood pressure (160/100 mmHg). Hypertension is a common sign of acute kidney transplant rejection due to impaired renal perfusion and fluid imbalance.

C. Bowel sounds . Hypoactive bowel sounds are not directly related to transplant rejection; may be due to decreased oral intake or other causes like medications.

D. Lung sounds . Lung fields are clear, which is not indicative of transplant rejection.

E. Sodium level (130 mEq/L). While mildly low, hyponatremia is nonspecific and not a key indicator of rejection.

F. Assessment of incision site. Tenderness over the transplant site suggests inflammation and possible rejection of the transplanted kidney.

G. Creatinine level (3.5 mg/dL from baseline 1.2 mg/dL). A significant increase in creatinine is a primary laboratory marker of kidney transplant rejection.

A. "You'll have to ask your doctor." B. "We'll find out if any medications, such as steroids, are interfering with your kidney function." C. "This test will tell if you have severe renal impairment or a disease." D. "This test will tell your doctor how your kidneys are functioning."

Correct Answer is D

Explanation

A. Deflecting the question to the doctor does not provide helpful information to the client.
B. While some medications can affect kidney function, this is not the primary purpose of the creatinine test.
C. The test helps assess kidney function but does not diagnose specific diseases or only severe impairment.
D. Serum creatinine levels reflect kidney function by indicating how well the kidneys are filtering waste from the blood.

A nurse is caring for a client who has a pneumothorax.

Exhibits

A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?

For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

View Question and Answer

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client who suffered burn injuries to their face and entire left arm is to receive lactated ringers. The client weighs 73 kg. How much fluid will be infused for the first 8 hours? (Round to the nearest whole number).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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).

Correct Answer is ["A","B","F","G"]

Explanation

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?

Correct Answer is D

Explanation

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