A client who weighs 90 kg and had a 50% burn injury at 10 AM arrives at the hospital at noon. Using the Parkland formula, calculate the rate that the nurse should use to deliver fluid when the IV is started at noon
What will be an ideal response?
1500 mL/hr
The Parkland formula is 4 mL/kg/%total body surface area (TBSA) burn. This client needs 18,000 mL of fluid during the first 24 hours post burn. Half of the calculated fluid replacement needs to be administered during the first 8 hours after injury, and half during the next 16 hours. This client was burned at 10 AM, and fluid was not started until noon. Therefore, 9000 mL must be infused over the next 6 hours at a rate of 1500 mL/hr to meet the criteria of receiving half the calculated dose during the first 8 post burn hours.
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A patient applies a transdermal nitroglycerin patch at 0900 . What additional instruction should be provided by the nurse regarding the patch?
a. "Leave the patch in place until the following morning, when a new patch will be applied." b. "Apply an additional patch if breakthrough anginal pain occurs." c. "Remove the patch at 9 PM." d. "Note the location of the patch, so that it can be reapplied in the same location to enhance absorption."
In follow-up appointments or visits with parents and their new baby, it may be useful if the nurse can identify parental behaviors that can either facilitate or inhibit attachment. Which is a facilitating behavior?
a. The parents have difficulty naming the infant. b. The parents hover around the infant, directing attention to and pointing at the in-fant. c. The parents make no effort to interpret the actions or needs of the infant. d. The parents do not move from fingertip touch to palmar contact and holding.
The nurse caring for a patient admitted with burns over 30% of the body surface assesses that urine output has dramatically increased. Which action by the nurse would best ensure adequate kidney function?
a. Continue to monitor the urine output. b. Monitor for increased white blood cells (WBCs). c. Assess that blisters and edema have subsided. d. Prepare the patient for discharge from the burn unit.
A nurse complains to the supervisor that horizontal violence (bullying) is occurring on the unit. The nurse most likely indicates to the supervisor that which of the following was occurring on the unit? Select all that apply
a. Intimidation d. Faultfinding b. Verbal abuse e. Support c. Camaraderie f. Elitist attitude