Author Question: A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck burn ... (Read 28 times)

asmith134 · **on:** Jun 25, 2018

A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck burn tells the nurse, I'm sorry that I'm still alive. My life will never be normal again. Which response by the nurse is best?

a. Most people recover after a burn and feel satisfied with their lives.
b. It's true that your life may be different. What concerns you the most?
c. It is really too early to know how much your life will be changed by the burn.
d. Why do you feel that way? You will be able to adapt as your recovery progresses.

Question 2

An 80-kg patient with burns over 30 of total body surface area (TBSA) is admitted to the burn unit.

Using the Parkland formula of 4 mL/kg/TBSA, what is the IV infusion rate (mL/hour) for lactated Ringer's solution that the nurse will administer during the first 8 hours?
What will be an ideal response?

mrphibs · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
This response acknowledges the patient's feelings and asks for more assessment data that will help in developing an appropriate plan of care to assist the patient with the emotional response to the burn injury. The other statements are accurate, but do not acknowledge the anxiety and depression that the patient is expressing.

Answer to Question 2

ANS:
600 mL
The Parkland formula states that patients should receive 4 mL/kg/TBSA burned during the first 24 hours. Half of the total volume is given in the first 8 hours and then the last half is given over 16 hours: 4 80 30 = 9600 mL total volume; 9600/2 = 4800 mL in the first 8 hours; 4800 mL/8 hr = 600 mL/hr.