ATI RN Pediatric Assessment 2022 | Nurselytic

Questions 47

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ATI RN Pediatric Assessment 2022 Questions

Extract:

A child weighing 22 pounds trapped in a house fire and sustains a burn injury with 40% total body surface area (TBSA) affected


Question 1 of 5

A child weighing 22 pounds is trapped in a house fire and sustains a burn injury. The total body surface area (TBSA) affected by burns is found to be 40%. The Parkland formula for fluid resuscitation is used to calculate the amount of fluid the child requires. The nurse determines that the child will receive how many milliliters of fluid in the first 8 hours after the time of injury?

Correct Answer: 800 mL

Rationale: The correct answer is 800 mL. The Parkland formula for fluid resuscitation is 4 mL x weight in kg x TBSA%. In this case, the weight of the child is 22 pounds, which is approximately 10 kg (22 lbs / 2.2 lbs per kg). The TBSA affected by burns is 40%. Plugging these values into the formula: 4 mL x 10 kg x 40% = 400 mL. This is the total fluid required over 24 hours, so to calculate the amount for the first 8 hours, divide by 3: 400 mL / 3 = 133.33 mL per hour.
Therefore, in the first 8 hours, the child will receive 133.33 mL x 8 hours = 1066.64 mL. However, as the child will receive half of the total fluid in the first 8 hours, the correct answer is 1066.64 mL /

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