Nursing & Paramedical - Healthcare Foundations & Clinical Nursing (NORCET)

Clinical Assessment, Patient Care & Critical Nursing question bank (Anatomy, Physiology & Medical-Surgical Nursing)

Practice 164 free Nursing & Paramedical - Healthcare Foundations & Clinical Nursing (NORCET) Anatomy, Physiology & Medical-Surgical Nursing - Clinical Assessment, Patient Care & Critical Nursing questions with answers and step-by-step solutions.

Q1.

Fluid Resuscitation in Severe Burns: What total volume of Ringer's Lactate is indicated in the first 24 hours under the Parkland Formula for a 60 kg adult with $40\%$ Total Body Surface Area (TBSA) thermal burns in 'Human Anatomy & Physiology: Vital Organs, Blood Composition, Electrolytes and Acid-Base Balance'?

(A)

9,600 mL ($4\text{ mL} \times 60\text{ kg} \times 40 = 9600\text{ mL}$, half given in first 8 hours) (Human Anatomy & Physiology: Vital Organs, Blood Composition, Electrolytes and Acid-Base Balance)

(B)

4,800 mL

(C)

12,000 mL

(D)

6,000 mL

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Q2.

Medical-Surgical Nursing (Electrolytes): Which characteristic electrocardiogram (ECG) alteration is the earliest and most prominent hallmark of severe Hyperkalemia ($K^+ > 6.0\text{ mEq/L}$) in 'Human Anatomy & Physiology: Vital Organs, Blood Composition, Electrolytes and Acid-Base Balance'?

(A)

Tall, peaked, symmetrical T waves (Human Anatomy & Physiology: Vital Organs, Blood Composition, Electrolytes and Acid-Base Balance)

(B)

Prominent U waves and flattened T waves (Hypokalemia)

(C)

Shortened QT interval

(D)

ST segment elevation in lead aVR only

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