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?
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. The child needs to avoid exposure to other illnesses.
Explanation: Children with AIDS have compromised immune systems and are more susceptible to infections. Therefore, it is important to minimize exposure to other illnesses to reduce the risk of infections.
B. Frequent handwashing is important.
Explanation: Good hand hygiene helps prevent the spread of infections. Encouraging frequent handwashing is crucial in the care of a child with AIDS.
C. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach).
Explanation: Using a bleach solution to clean up body fluid spills helps to disinfect and reduce the risk of transmission of infections. The recommended ratio is 10 parts water to 1 part bleach.
D. Monitor the child's weight.
Explanation: Monitoring the child's weight is important for assessing nutritional status and overall health. Weight loss may indicate underlying health issues that need attention.
E. The child's immunization schedule will need revision.
Explanation: Children with AIDS may have altered immune function, but the need for immunizations is still crucial. However, live vaccines may need to be avoided. The immunization schedule should be discussed and individualized with the healthcare provider.
F. Fever, malaise, fatigue, weight loss, vomiting, and diarrhea are expected to occur and do not require special intervention.
Explanation: While these symptoms may occur, they should not be dismissed without evaluation. Any changes in the child's health, including symptoms such as fever, malaise, fatigue, weight loss, vomiting, and diarrhea, should be reported to the healthcare provider for appropriate assessment and intervention.
Correct Answer is C
Explanation
A. A highly pruritic profuse macule to papule rash on the trunk
Explanation: This description does not fit the typical characteristics of erythema infectiosum. Fifth disease is not typically associated with a highly pruritic rash.
B. A discrete pinkish red maculopapular rash that is spreading to the trunk
Explanation: While erythema infectiosum does involve a rash that can spread to the trunk, the distinctive "slapped face" appearance is a key characteristic that is not captured in this option.
C. An erythema on the face that has a "slapped face" appearance.
Explanation:
Erythema infectiosum, commonly known as fifth disease or slapped cheek syndrome, is characterized by a distinctive facial rash that gives the appearance of a "slapped face." The rash typically starts on the face and then spreads to the trunk and extremities. It often begins with erythema on the cheeks, giving the child a flushed or slapped appearance, followed by a discrete rose-pink maculopapular rash on the trunk.
D. A discrete rose-pink maculopapular rash on the trunk
Explanation: This description fits the typical characteristics of the rash seen in erythema infectiosum, but the key identifier is the "slapped face" appearance on the face.
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