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A child weighing 22 pounds is trapped in a house fire and sustains a burn injury. The total body surface area (TBSA) affected by burns is found to be 40%. The Parkland formula for fluid resuscitation is used to calculate the amount of fluid the child requires. The nurse determines that the child will receive how many milliliters of fluid in the first 8 hours after the time of injury?

Answer and Explanation

The Correct Answer is ["800"]

The Parkland formula is commonly used to calculate the fluid requirements for burn resuscitation. The formula is:

Fluid requirement (in mL)=TBSA×Weight (in kg)×Fluid volume (in mL/kg)

For burn patients, the recommended fluid volume is typically 4 mL/kg for each percent of TBSA burned.

Let's calculate the fluid requirement for the given case:

Fluid requirement=40%×22 lbs×4 mL/kg

First, convert the weight from pounds to kilograms:

Weight (in kg)= Weight (in lbs)/2.2

Weight (in kg)=22 lbs/2.2≈10 kg

Now, calculate the fluid requirement:

Fluid requirement=40% x 10 kg × 4 mL/kg

Fluid requirement=1600mL (total fluid over 24 hours)

Fluid for the first 8 hours:

1600/2=800ml

Thus, the child will receive 800 mL of fluid in the first 8 hours after the burn injury.

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Correct Answer is C

Explanation

A. "I'll check my child's temperature."
Explanation: Monitoring the child's temperature is a general indicator of well-being and can help identify signs of infection or other postoperative concerns.
B. "I'll give medication so that my child will be comfortable."
Explanation: Administering prescribed medication for comfort is a suitable practice to manage postoperative pain or discomfort.
C. "I'll check my child's voiding to be sure there's no problem."
Explanation:
After an orchiopexy procedure, checking voiding may not be directly related to the surgical intervention. Orchiopexy is a procedure to correct cryptorchidism, which involves repositioning an undescended testicle into the scrotum. While monitoring for general signs of well-being is important, specifically checking voiding might not be directly relevant to the surgical recovery process.
D. "I'll let my child decide when to return to play activities."
Explanation: Allowing the child to gradually resume play activities based on their comfort and recovery is a reasonable approach, considering individual variations in recovery times.

A. Changes in the voice signal the beginning of puberty. B. Gynecomastia commonly occurs during late puberty. C. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years. D. Growth spurts in height occur toward the end of midpuberty

Correct Answer is B

Explanation

A. Changes in the voice signal the beginning of puberty.
Explanation: Changes in the voice, specifically deepening, are associated with puberty, but they typically occur later in puberty. The voice change is related to the growth of the larynx (Adam's apple) and tends to happen after other physical changes.
B. Gynecomastia commonly occurs during late puberty.
Explanation:
Gynecomastia, the development of breast tissue in males, is a common occurrence during puberty. It is often temporary and tends to happen during late puberty. The enlargement of breast tissue can be a source of concern for adolescent boys, and providing information about the normalcy and temporary nature of gynecomastia can be reassuring for both parents and boys.
C. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years.
Explanation: The timing of pubertal changes can vary among individuals. While certain age ranges are provided as general guidelines, the absence of scrotal changes by a specific age does not necessarily indicate delayed puberty. Puberty is a gradual process with individual variations.
D. Growth spurts in height occur toward the end of midpuberty.
Explanation: Growth spurts in height, known as the adolescent growth spurt, typically occur during midpuberty. This phase is marked by rapid growth in height, changes in body composition, and the development of secondary sexual characteristics.

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Naxlex Comprehensive Predictor Exams

The nurse has provided discharge instructions to the parents of a 2-year-old child who underwent an orchiopexy to correct cryptorchidism, which statement by the parents indicates a need for further instruction?

Correct Answer is C

Explanation

A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?

Correct Answer is B

Explanation

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize that which of the following findings are associated with this condition? (Select all that apply.)

The nurse performs an assessment of a child with pertussis (whooping cough). Which finding would the nurse identify as indicative of a potential complication?

On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

The nurse is providing home-care instructions to a mother of a 12-month-old infant with mild diarrhea. Which would the nurse instruct the mother to do?