A burn patient is admitted to the emergency department with partial-thickness burns covering 20% of their total body surface area. The healthcare provider is calculating the fluid resuscitation using the Parkland formula. What is the initial fluid volume (in milliliters) that should be administered within the first 24 hours according to the Parkland formula?
A) 1000 mL
B) 2000 mL
C) 3000 mL
D) 4000 mL
E) 5000 mL
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Rationale: The Parkland formula recommends administering 4 mL of lactated Ringer’s solution per kilogram of body weight for each percentage of total body surface area burned. In this case, with a 20% burn and an assumed weight, the calculation would be 4 mL x 20 kg x 20% = 1600 mL. Half of this calculated volume is given in the first 8 hours, and the remaining half is administered over the next 16 hours. Therefore, the initial fluid volume within the first 24 hours is 1600 mL / 2 = 800 mL + 2200 mL (second 16 hours) = 3000 mL.
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A nurse is caring for a burn patient who is receiving fluid resuscitation based on the Parkland formula. After the initial 24 hours, how should the nurse adjust the fluid administration for the next 24 hours?
A) Continue with the same rate
B) Increase the rate by 50%
C) Decrease the rate by 50%
D) Stop fluid administration
E) Administer a bolus of 1000 mL
Rationale: The Parkland formula recommends a specific fluid resuscitation rate for the first 24 hours. After this initial period, the nurse should continue administering the same rate for the next 24 hours. There is no need to increase or decrease the rate during this time. The goal is to maintain adequate fluid balance and prevent complications associated with burn injuries.
A burn patient is being transferred from the emergency department to the burn unit after receiving fluid resuscitation based on the Parkland formula. The nurse notices signs of fluid overload, including crackles in the lungs and edema. What action should the nurse take?
A) Administer a diuretic
B) Increase fluid resuscitation
C) Continue with the current fluid rate
D) Decrease fluid resuscitation
E) Notify the healthcare provider
Rationale: Signs of fluid overload, such as crackles in the lungs and edema, indicate that the patient may be receiving too much fluid. In such cases, it is essential to decrease the fluid resuscitation rate to prevent further complications, such as pulmonary edema. The nurse should also notify the healthcare provider for further assessment and guidance in managing the patient’s fluid balance.
Understanding the Parkland Formula: NCLEX Priority Questions
A patient sustains burns covering 15% of their total body surface area. According to the Parkland formula, how much lactated Ringer’s solution (in milliliters) should the nurse administer within the first 8 hours?
A) 600 mL
B) 750 mL
C) 800 mL
D) 1000 mL
E) 1200 mL
Rationale: The Parkland formula recommends administering 4 mL of lactated Ringer’s solution per kilogram of body weight for each percentage of total body surface area burned. For a 15% burn, the calculation would be 4 mL x patient’s weight x 15%. Half of this calculated volume is given within the first 8 hours. Therefore, the correct answer is 750 mL.
Understanding the Parkland Formula: NCLEX Delegation Questions
A burn patient has been receiving fluid resuscitation based on the Parkland formula for the past 16 hours. The nurse notes a decrease in urine output. What is the appropriate nursing intervention in response to this finding?
A) Increase fluid resuscitation
B) Administer a diuretic
C) Continue with the current fluid rate
D) Decrease fluid resuscitation
E) Notify the healthcare provider
Rationale: A decrease in urine output may indicate inadequate fluid resuscitation or other complications. It is crucial for the nurse to notify the healthcare provider for further assessment and intervention. The provider may order additional diagnostic tests or adjust the fluid resuscitation rate to address the patient’s changing needs.
Understanding Parkland Formula: Causes and Symptoms of Large Burns
A burn patient is admitted with burns covering 30% of their body. The nurse is preparing to administer the second half of the calculated fluid volume according to the Parkland formula. How many hours should the nurse take to infuse the remaining fluid volume?
A) 4 hours
B) 8 hours
C) 12 hours
D) 16 hours
E) 24 hours
Rationale: The Parkland formula recommends giving half of the calculated fluid volume within the first 8 hours and the remaining half over the next 16 hours. This approach helps prevent fluid overload and ensures a more controlled fluid resuscitation, optimizing patient outcomes.
NCLEX Practice Questions: Understanding Parkland Formula
A burn patient with partial-thickness burns covering 25% of their total body surface area is admitted to the emergency department. According to the Parkland formula, what is the total amount of lactated Ringer’s solution (in milliliters) the nurse should administer within the first 24 hours?
A) 2000 mL
B) 2500 mL
C) 3000 mL
D) 3500 mL
E) 4000 mL
Rationale: The Parkland formula recommends administering 4 mL of lactated Ringer’s solution per kilogram of body weight for each percentage of total body surface area burned. For a 25% burn, the calculation would be 4 mL x patient’s weight x 25%. Half of this calculated volume is given within the first 8 hours, and the remaining half is administered over the next 16 hours. Therefore, the correct answer is 3000 mL.
NCLEX Questions: Focus on Medications for Parkland Formula Large Burns
A nurse is caring for a burn patient who has been receiving fluid resuscitation based on the Parkland formula. The patient’s urine output is above the expected range. What action should the nurse take?
A) Increase fluid resuscitation
B) Administer a diuretic
C) Continue with the current fluid rate
D) Decrease fluid resuscitation
E) Monitor closely without intervention
Rationale: An increased urine output may be a positive sign that the fluid resuscitation is adequate. The nurse should continue with the current fluid rate, ensuring that the patient’s fluid balance is maintained. Sudden adjustments to the fluid resuscitation rate without proper assessment may lead to complications.
NCLEX Focus Exploring Parkland Formula for Large Burns: Causes and Diagnosis
A burn patient with 18% total body surface area burns has received the initial fluid volume according to the Parkland formula. The nurse is about to administer the second half over the next 16 hours. What is the appropriate rate of administration (in milliliters per hour) during this period?
A) 100 mL/hour
B) 150 mL/hour
C) 200 mL/hour
D) 250 mL/hour
E) 300 mL/hour
Rationale: To administer the second half over 16 hours, the nurse should divide the remaining volume by 16 hours. For an 18% burn, this would be 250 mL/hour. This gradual approach helps prevent fluid overload and ensures a controlled and safe fluid resuscitation.
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NCLEX Review: Parkland Formula and Treatments
A burn patient has a 12% total body surface area burn and is receiving fluid resuscitation based on the Parkland formula. After 8 hours, the nurse assesses the patient’s vital signs and notes a drop in blood pressure. What is the most appropriate nursing intervention?
A) Increase fluid resuscitation
B) Administer a vasopressor
C) Continue with the current fluid rate
D) Decrease fluid resuscitation
E) Notify the healthcare provider
Rationale: A drop in blood pressure may indicate inadequate fluid resuscitation or other complications. The nurse should notify the healthcare provider for further assessment and intervention. The provider may order additional fluid resuscitation, medications, or diagnostic tests to address the patient’s changing condition.