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A client with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The initial rate of administration is 1875 mL/hr. After the first 8 hours, what rate should the nurse infuse the IV fluids?

Answer and Explanation

The Correct Answer is ["937.5"]

Calculate the fluid volume to be administered in the remaining 16 hours:

Total fluid volume - Fluid administered in the first 8 hours = Remaining fluid volume

30,000 mL - (1875 mL/hr * 8 hr) = 15,000 mL

Calculate the infusion rate for the remaining 16 hours:

Remaining fluid volume / Remaining time = Infusion rate

15,000 mL / 16 hr = 937.5 mL/hr

Therefore, the nurse should infuse the IV fluids at a rate of 937.5 mL/hr after the first 8 hours.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Pouring water over the genitals can help reduce the pain of urination, which is common in clients with genital herpes.

B. Washing hands carefully after applying ointment is important to prevent the spread of the virus.

C. The herpes simplex virus can be transmitted even when lesions are not present, so this statement indicates a need for further education. The virus can be spread through asymptomatic viral shedding.

D. Increasing fluid intake when lesions are open helps to prevent urinary retention and promote healing.

A. "I will avoid sources of strong electromagnetic fields." B. "Now I can discontinue my antidysrhythmic medication." C. "I would participate in a strenuous exercise program." D. "I would wear a snug-fitting shirt over the ICD."

Correct Answer is A

Explanation

A. Clients with ICDs should avoid strong electromagnetic fields, which can interfere with the device’s function. This is crucial for safety.

B. Discontinuing antidysrhythmic medication is not recommended unless instructed by the healthcare provider, as it could increase the risk of arrhythmias.

C. Strenuous exercise may be too strenuous for someone with an ICD and could increase the risk of arrhythmias or lead to ICD activation.

D. A snug-fitting shirt is generally not recommended because it may place pressure on the ICD site and cause discomfort.

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Naxlex Comprehensive Predictor Exams

A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

Correct Answer is C

Explanation

After teaching a client who has an implantable cardioverter- defibrillator (ICD), a nurse assesses the client's understanding. Which statement by the client indicates correct understanding of the teaching?

Correct Answer is A

Explanation

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The nurse is preparing to administer adenosine (Adenocard) to a client experiencing supraventricular tachycardia. When giving this medication, what is important to remember?

A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which intervention is appropriate for the nurse to perform prior to defibrillating this client?