A nurse is caring for a 5-year-old child with a major burn. The ...

[lidoalex]

A nurse is caring for a 5-year-old child with a major burn. The health care provider has written a prescription to notify the health care provider if urine output falls to or below 2 mL/kg/hr. The child weighs 55 lb.
 
  The nurse should notify the health care provider if the milliliters of urine output is at or below _____ for an hour. Record your answer as a whole number.
 
  What will be an ideal response?

Question 2

Which should the nurse include when teaching parents about preventing childhood burn injuries (Select all that apply)?
 
  a. Keep hot liquids out of reach.
  b. Baby-proof electrical outlets.
  c. Turn water heater thermostats to a maximum of 150 F.
  d. Heat infant formula in the microwave.
  e. Test water temperature before placing your child in the tub bath.

[vboyd24]

Answer to Question 1

ANS:
50

To calculate the child's weight in kilograms, the weight in pounds is divided by 2.2. That number is then multiplied by 2 to get the amount expected for a 1-hour period: 55/2.2 = 25 kg; 25 kg  2 mL = 50 mL/hr.

The primary emphasis during the emergent phase is the treatment of burn shock and the management of pulmonary status. Monitoring vital signs, output, fluid infusion, and respiratory parameters are ongoing activities in the hours immediately after injury. Intravenous infusion is begun immediately and is regulated to maintain a urinary output of at least 1 to 2 mL/kg in children weighing less than 30 kg (66 pounds).

Answer to Question 2

ANS: A, B, E
To prevent burns, hot liquids should be kept out of reach; tablecloths and dangling appliance cords are often pulled by toddlers, who spill hot grease and liquids on themselves. Electrical cords and outlets represent a potential risk to small children, who may chew on accessible cords and insert objects into outlets. The Consumer Product Safety Commission recommends a reduction of water heater thermostats to a maximum of 48.9 C (120 F). The increased use of microwave ovens has resulted in burn injuries from the extremely hot internal temperatures generated in heated items. Baby formula, jelly-filled pastries, and hot liquids and dishes may result in cutaneous scalds or the ingestion of overheated liquids. Water should always be tested before a child is placed in the tub or shower.