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Total Body Surface Area for Burns is calculated for adults using the Rule of Nines
Admission assessment of a 54.4 kg patient shows partialthickness and full-thickness burns over one half the back, the perineal area, and the posterior aspect of both legs and feet. Based on the standard fluid replacement formula, what is the maximum fluid the patient will receive over the first 24 hours based on this presentation?
A patient has been burned to the following areas: Anterior right leg-superficial partial thickness, entire left leg-superficial and partial thickness, and anterior chest-partial thickness. Using the rule of 9s, which of the follow is the total surface area burned?
During the initial stages (first 3 days) of a burn injury, the nurse would expect the patient to show signs of:
During the initial treatment phase, fluid replacement at 4 mL/kg/percent of burns is given over the first 24 hours. The calculated amount of solution is divided so that:
During the later stages (after the first 3 days) of a burn injury, the nurse would expect the patient to show signs of:
After ensuring airway patency, obtaining baseline vitalsigns, and establishing an IV of Lactated Ringer’s solution, the patient’s condition stabilizes. Because airway obstruction may still occur, the nurse must assess frequently for airway patency. How long after injury should frequent airway assessments be made?
Which parameter is commonly used as a guideline for adequate fluid replacement?
Which statement best describes the rationale for keeping a patient from ingesting food or liquids (NPO status) while in the ED after a burn?
The nurse recognizes which IV fluid will best treat the acidosis associated with a burn injury?
An infant has been brought into the emergency room for burns to their feet after being placed in a bath that was too hot. Which method should the nurse use to determine the percent of area burned for this infant?
A client is brought to the hospital after suffering severe burns and inhalation injury after an explosion. The nurse assesses the client and provides information to the provider, who orders a bronchoscopy. Which best describes why the client would need this test?
A client who has been severely burned in an accident is brought to the emergency department. The physician orders a regimen to begin fluid resuscitation. Which type of fluid would the nurse most likely use as part of fluid resuscitation following a burn injury?
The nurse is caring for a child who was in a house fire. The nurse notes that the hairs on the child’s face are singed. Based on this assessment finding, the nurse monitors the client closely for which of the following complications that may occur following burn injuries?
A client is recovering from an injury in which he was severely burned. The client is having difficulties coping with his appearance and he tells the nurse that he does not want to look at the burned area. Which response from the nurse is most appropriate?
A client has just arrived to the emergency department and has sustained burns on the front and back of the right arm and leg. The client weighs 64 kg. Using the Parkland burn formula, how much fluid should this client receive in the first 8 hours after the injury?
The nurse is working in an urgent care center and is assessing a six-year-old who has a burn on the left hand. The nurse knows that a 2nd degree burn would have which of the following characteristics? Select all that apply.
The nurse is receiving report on a client with chemical burns over 70% of the body. The outgoing nurse states that the client’s pain is a 7/10. The client has been averaging 80 ml/hr out of urine output and receiving 125 ml/hr 0.9% normal saline into a central venous catheter. The serum sodium is 133, K is 3.4, and Mag is 1.9. Vital signs are stable. The client is receiving antibiotics and is on a regular diet. What is the nurse’s primary concern?
An emergency department nurse is caring for a client with 2nd and 3rd degree burns on 40 percent of his body. The nurse knows that the effects of the burn on the cardiovascular system include which of the following? Select all that apply.
A client is brought into the emergency department after suffering from third-degree burns in an explosion. The client has burns on approximately 40 percent of his body. The nurse weighs the client and notes that he weighs 170 lbs. Calculate the volume of IV fluid this client must receive in the first 24 hours using the Parkland formula.
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