The nurse is caring for a client who weighs 85 kg (187 lbs)...

The nurse is caring for a client who weighs 85 kg (187 lbs) who sustained a 27% total body surface area burn. Using the Parkland formula, calculate how many mL of intravenous fluid (IVF) the nurse will administer in the first eight hours. Fill in the blank.

Correct Answer: 4590 mL

Rationale: The Parkland formula is 4 mL Ã— kg Ã— % burn. For 85 kg and 27% burn: 4 Ã— 85 Ã— 27 = 9180 mL total. Half is given in the first 8 hours: 9180 Ã· 2 = 4590 mL.

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Correct Answer: 56 mg

Rationale: Calculate: 0.9 mg/kg Ã— 61.81 kg = 55.629 mg, rounded to 56 mg.

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Rationale: Calculate: (6000 units Ã· 10,000 units) Ã— 1 mL = 0.6 mL.

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Correct Answer: 132 mg

Rationale: Calculate: 10 mg/kg Ã— 13.18 kg = 131.8 mg, rounded to 132 mg.

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Correct Answer: 5 mL/hr

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The primary healthcare provider (PHCP) prescribes 1.5 grams of vancomycin to be infused over 90 minutes. The pharmacy supplies the medication in a bag labeled 1500 mg of Vancomycin in 250 mL of 0.9% saline. How many mL/hour should the nurse administer? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer: 167 mL/hr

Rationale: Convert 90 minutes to 1.5 hours. Flow rate: 250 mL Ã· 1.5 hr = 166.67 mL/hr, rounded to 167 mL/hr.