60. A 40-year-old female patient has deep partial thickness burns on the front and back of the right and left leg, front of right arm, and anterior trunk. The patient weighs 63 kg. Use the Parkland Burn Formula: What is the total volume of fluid to be administered within the first 8 hours? A. 8504 ml B. 7371 ml C. 3264 D. 4820 61. A patient is in the acute phase of burn management. The patient experienced full -thickness burns to the perineum and sacral area of the body. In the patient's plan of care , which nursing diagnosis is priority at this time? A. Altered nutrition B. Risk for fluid volume overload C. Risk for infection D. Ineffective coping 62. A patient arrives to the emergency due to experiencing burns in an enclosed space. Which assessment findings highly demonstrates inhalation injury? A. Bradycardia B. Clear sputum C. Fractured bone D. burn on the head and nose 63. A patient experienced I a full-thickness burn 72 hours ago. The patient's vital signs are within normal limits and urinary output is 50mL/hr This is known as what phase of burn management? A. Emergent B. Acute C. Rehabilitative D. Convalescence 64. A patient has a burn on the back that is extremely red and painful but no blisters are present . When the area is pressed, the skin blanches. You document this as a: A. superficial burn B. partial-thickness) burn C. full-thickness burn D. deep full-thickness burn 65. A patient has experienced full-thicknes s burns to the face and neck. What is the priority nursing action? A. Prevent hypothermia B. Assess the blood pressure C. Assess the airway D. Preventing infection

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60. A 40-year-old female patient has deep partial thickness burns on the front and back of the right and left leg, front of right arm, and anterior trunk. The patient weighs 63 kg. Use the Parkland Burn Formula: What is the total volume of fluid to be administered within the first 8 hours? A. 8504 ml B. 7371 ml C. 3264 D. 4820 61. A patient is in the acute phase of burn management. The patient experienced full -thickness burns to the perineum and sacral area of the body. In the patient's plan of care , which nursing diagnosis is priority at this time? A. Altered nutrition B. Risk for fluid volume overload C. Risk for infection D. Ineffective coping 62. A patient arrives to the emergency due to experiencing burns in an enclosed space. Which assessment findings highly demonstrates inhalation injury? A. Bradycardia B. Clear sputum C. Fractured bone D. burn on the head and nose 63. A patient experienced I a full-thickness burn 72 hours ago. The patient's vital signs are within normal limits and urinary output is 50mL/hr This is known as what phase of burn management? A. Emergent B. Acute C. Rehabilitative D. Convalescence 64. A patient has a burn on the back that is extremely red and painful but no blisters are present . When the area is pressed, the skin blanches. You document this as a: A. superficial burn B. partial-thickness) burn C. full-thickness burn D. deep full-thickness burn 65. A patient has experienced full-thicknes s burns to the face and neck. What is the priority nursing action? A. Prevent hypothermia B. Assess the blood pressure C. Assess the airway D. Preventing infection

Answer 1

60. The correct1 ml.The Parkland Burn Formula is used to calculate the total volume of fluid to be administered to burn patients within the first 24 hours. The formula is: Total fluid volume = 4 ml x body weight (kg) x % of total body surface area (TBSA) burned.In this case, the patient has deep partial thickness burns on the front and back of the right and left leg, front of right arm, and anterior trunk. Assuming the TBSA affected is 40%, the calculation would be:Total fluid volume = 4 ml x 63 kg x 40% = 1008 mlSince the question asks for the total volume to be administered within the first 8 hours, we need to divide the total fluid volume by 2:Total fluid volume for the first 8 hours = 1008 ml / 2 = 504 ml fluid to be administered within the first 8 hours is 7371 ml.61. The correct answer is C. Risk for infection.In the acute phase of burn management, the priority nursing diagnosis is "Risk for infection." This is because full-thickness burns to the perineum and sacral area of the body can lead to a high risk of infection due to the location and depth of the burns. Infection can cause further complications and delay the healing process.62. The correct answer is D. burn on the head and nose.Inhalation injuries are often associated with burns to the head and neck, as the patient may have inhaled smoke or toxic fumes. The presence of burns on the head and nose is a strong indicator of inhalation injury. Other assessment findings that may demonstrate inhalation injury include soot around the mouth or nose, singed nasal hairs, hoarseness in the airways.63. The correct answer is D. Convalescence.The convalescence phase of burn management typically begins 3-5 days after the burn injury, when the patient's vital signs are within normal limits and urinary output is adequate. During this phase, the focus is on promoting healing, preventing complications, and gradually increasing the patient's activity and mobility.64. The correct answer is A. superficial burn.A superficial burn, also known as a first-degree burn, is characterized by redness, pain, and no blisters. When the affected area is pressed and the skin blanches, it indicates that the burn is superficial. In contrast, partial-thickness burns (second-degree burns) involve blisters and may be more severe, while full-thickness burns (third-degree burns) extend through the entire dermis and may appear white, leathery, or char is C. Assess the airway.In patients with full-thickness burns to the face and neck, the priority nursing action is to assess the airway. This is because the burns may cause swelling or obstruction of the airway, which can lead to respiratory distress or even suffocation. Ensuring a patent airway is crucial in preventing life-threatening complications.

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