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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 B

Explanation

A. Test the urine for protein.
Explanation: Testing urine for protein is not a priority nursing intervention in the preoperative period for an infant with hydrocephalus. The focus is on preventing complications related to immobility and positioning.
B. Reposition the infant frequently.
Explanation:
Repositioning the infant frequently is a crucial intervention to prevent complications such as pressure ulcers (bedsores). Infants with hydrocephalus may be at an increased risk of skin breakdown due to prolonged immobility and pressure on specific areas. Repositioning helps distribute pressure, improves circulation, and reduces the risk of skin breakdown.
C. Assess blood pressure every 15 minutes.
Explanation: While monitoring blood pressure is important in certain situations, it is not typically the priority for an infant with hydrocephalus in the preoperative period. The focus is on preventing skin breakdown through repositioning.
D. Provide a stimulating environment.
Explanation: While providing a stimulating environment can be beneficial for infant development, it is not the priority in the preoperative period for an infant with hydrocephalus. The primary concern is addressing potential complications related to immobility, such as skin breakdown.

A. I will limit my child's fluid intake." B. "We will give our child pancreatic enzymes with snacks and meals C. "We will restrict the amount of salt in our child's food." D. "I will prepare low fat meals with limited protein for my child."

Correct Answer is B

Explanation

A. "I will limit my child's fluid intake."
Incorrect: Limiting fluid intake is not typically recommended for children with CF. Maintaining hydration is important, especially since individuals with CF may have increased salt losses in sweat.
B. "We will give our child pancreatic enzymes with snacks and meals."
Correct Answer: This response indicates an understanding of the importance of giving pancreatic enzymes to assist with digestion, as individuals with CF often have pancreatic insufficiency. Pancreatic enzymes help in the absorption of nutrients from food.
C. "We will restrict the amount of salt in our child's food."
Incorrect: While it's true that individuals with CF may need to increase their salt intake due to increased salt losses in sweat, this response suggests restricting salt, which is not in line with the nutritional needs of a child with CF.
D. "I will prepare low-fat meals with limited protein for my child."
Incorrect: Children with CF often need a higher calorie intake, including healthy fats and adequate protein. Restricting fat and protein is not in line with the nutritional needs of a child with CF.

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An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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