A client is being evaluated in the emergency department following ...

[mcmcdaniel]

A client is being evaluated in the emergency department following a burn injury at home. The client has second- and third-degree burns to the right and left arms, back, and both posterior legs.
 
  Using the rule of nines, the nurse would calculate this client's burn as being:
  1. 36.
  2. 45.
  3. 54.
  4. 63.

Question 2

The formula used to calculate the volume of intravenous (IV) fluid required for fluid resuscitation of a client receiving care in the first 24 hours after a burn is:
 
  1. 1 to 2 mL of lactated Ringer's solution  body weight  percent burn.
  2. 2 to 3 mL of lactated Ringer's solution  body weight  percent burn.
  3. 2 to 4 mL of lactated Ringer's solution  body weight  percent burn.
  4. 3 to 6 mL of lactated Ringer's solution  body weight  percent burn.

[poopface]

Answer to Question 1

3
The right and left arms are 18, the back is 18, and the posterior legs are 18; this equals 54. The other calculations are incorrect.

Answer to Question 2

3
The formula used to calculate the volume of IV fluid required for fluid resuscitation is based on the Parkland formula. Using this formula, the client's fluid requirements for the first 24 hours after injury are estimated. For adults, the formula is 2 to 4 mL of lactated Ringer's solution  body weight (in kg)  percent burn. The other amounts of fluid are incorrect for the adult client.

[mcmcdaniel]

TYSM

[kjohnson]

Excellent