While obtaining a client's health history, the client states, I ...

[madam-professor]

While obtaining a client's health history, the client states, I am allergic to avocados. Which responses by the nurse are best? (Select all that apply.)
 
  a. What response do you have when you eat avocados?
  b. I will remove any avocados that are on your lunch tray.
  c. When was the last time you ate foods containing avocados?
  d. I will document this in your record so all of your providers will know.
  e. Have you ever been treated for this allergic reaction?

Question 2

An emergency room nurse cares for a client admitted with a 50 burn injury at 10:00 this morning. The client weighs 90 kg. Using the Parkland formula, calculate the rate at which the nurse should infuse intravenous fluid resuscitation when started at noon
 
  (Record your answer using a whole number.) _____ mL/h

[ryrychapman11]

Answer to Question 1

ANS: A, D, E
Nurses should assess clients who have allergies for the specific cause, treatment, and response to treatment. The nurse should also document the allergies in a prominent place in the client's medical record. The nurse should collaborate with food services to ensure no avocados are placed on the client's meal trays. Asking about the last time the client ate avocados does not provide any pertinent information for the client's plan of care.

Answer to Question 2

ANS:
1500 mL/hr
The Parkland formula is 4 mL/kg/ total body surface area burn. This client needs 18,000 mL of fluid during the first 24 hours postburn. Half of the calculated fluid replacement needs to be administered during the first 8 hours after injury, and half during the next 16 hours. This client was burned at 10:00 AM, and fluid was not started until noon. Therefore, 9000 mL must be infused over the next 6 hours at a rate of 1500 mL/hr to meet the criteria of receiving half the calculated dose during the first 8 postburn hours.

[madam-professor]

Gracias!

[phuda]

TYSM