Which of the following are types of infections that can affect the ear? (Select All that Apply.)

Step-by-Step Calculation:

Step 1: Convert the client's weight from pounds to kilograms.

176 lbs ÷ 2.2 = 80 kg

Result = 80 kg

Step 2: Calculate the total dose of dopamine in mcg/min.

3 mcg/kg/min × 80 kg = 240 mcg/min

Result = 240 mcg/min

Step 3: Convert the total dose from mcg/min to mg/min.

240 mcg/min ÷ 1000 = 0.24 mg/min

Result = 0.24 mg/min

Step 4: Determine the concentration of dopamine in mg/mL.

500 mg ÷ 250 mL = 2 mg/mL

Result = 2 mg/mL

Step 5: Calculate the infusion rate in mL/min.

0.24 mg/min ÷ 2 mg/mL = 0.12 mL/min

Result = 0.12 mL/min

Step 6: Convert the infusion rate to mL/hr.

0.12 mL/min × 60 min/hr = 7.2 mL/hr

Result = 7.2 mL/hr

Final Result:

The IV pump should be set to 7.2 mL/hr.

Choice A Reason:
Fluid imbalance is a significant concern in burn patients due to the loss of fluids through damaged skin. This can lead to hypovolemic shock if not managed properly. However, while fluid resuscitation is crucial, it is not the immediate priority over airway management in the case of burns to the head and neck. Ensuring the airway is clear and unobstructed takes precedence because airway compromise can lead to rapid deterioration and death.

Choice B Reason:
Airway obstruction is the most critical risk in patients with extensive burns to the head and neck. Burns in these areas can cause swelling, leading to airway compromise. Inhalation injuries from smoke or hot gases can also cause airway edema and respiratory distress. Immediate assessment and intervention to secure the airway are paramount to prevent hypoxia and ensure the patient can breathe adequately. This is why airway management is the top priority in such cases.

Choice C Reason:
Infection is a major risk for burn patients due to the loss of the skin barrier, which normally protects against pathogens. Burn wounds are highly susceptible to bacterial colonization and infection, which can lead to sepsis if not properly managed. While infection control is vital, it is not the immediate priority over securing the airway in the acute phase of burn management. Once the airway is secured, infection prevention and control measures can be implemented.