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The nurse is caring for a client, with no other pertinent medical history, who was burned over 709% Total Body Surface Area (TBSA) and weighs 70kg. Using the Parkland Formula, calculate the amount of intravenous fluid required in the first 8 hours after the burn.

2.600mL

9,800 ml

4,900mL

19,600mL

Answer and Explanation

The Correct Answer is B

Parkland Formula:

Total fluid requirement (ml)=4×Body weight (kg)×Total body surface area burned (%TBSA)

= 4×70×70

=19,600mL (total for 24 hours)

Fluids in first 8 hours: 19,600mL÷2

=9,800mL

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Correct Answer is B

Explanation

A. Removal of the educating patient to carry an Epipen
While educating the patient about carrying an Epipen is essential in managing anaphylaxis, it is not the primary action in preventing anaphylactic shock before exposure to an allergen.

B. Assess and document for previous allergies and drug reactions prior to medication administration
Identifying and documenting allergies before administering medications or treatments helps prevent exposure to known allergens, reducing the risk of anaphylaxis.

C. Administer diphenhydramine and solumedrol IV at the first sign of allergic symptoms
These medications help in managing allergic reactions but do not prevent anaphylactic shock. Preventive measures focus on avoiding allergen exposure rather than treating symptoms after they occur.

D. Application of a red allergy bracelet on the patient’s upper extremity
This helps alert healthcare providers about allergies, but it does not prevent anaphylactic shock. It is a precautionary step rather than a primary prevention strategy.

A. Provide the daughter and client with nutritional counseling B. Interview the client alone and assess for abuse C. Take the history from the daughter because of the client's confusion D. Request a psychiatric evaluation for the client

Correct Answer is B

Explanation

A. Provide the daughter and client with nutritional counseling.

While nutrition is important, assessing for abuse is the priority.

B. Interview the client alone and assess for abuse.

The client’s reluctance and daughter’s interruptions suggest potential elder abuse.

C. Take the history from the daughter due to the client’s confusion.

The client should be interviewed alone first.

D. Request a psychiatric evaluation.

Confusion can result from dehydration or trauma, not necessarily a psychiatric disorder.

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The nurse is caring for a client, with no other pertinent medical history, who was burned over 709% Total Body Surface Area (TBSA) and weighs 70kg. Using the Parkland Formula, calculate the amount of intravenous fluid required in the first 8 hours after the burn.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What action priority in preventing anaphylactic shock?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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