NCLEX Question.

5. Don't come here asking us to do your hw for you.

i would say 3 because of the burns...

I would have to say #1. Even though he is scheduled for surgery, femur fractures could have bleeding from the femoral artery if it is damaged.

#3 would be on my list next.

That's my first reaction.

This question is not for my Homework assignment in any way. My apologies.. Right now i am studying Fluid Volume Imbalances + Acid Base imbalances and electrolytes. And this was one of the questions that i could not get.

The only reason I am hesitant to pick #3 is the size of the burn and the degree. I believe they start IV fluid for more than 15% of the body burned. But don't quote me. Have to run out for an errand, but will look that up when I get back.

But even in a close femur fx, you could lose 1-2 L of blood. For a 88 year old, that could be bad.

well i change my answer...lol...its second degree burns which is blistering..i would change it to #1...

Why is the 20 year old in the hospital? A pt with DKA would be the first I'd go to in this group, but it is not clear per the wording.

At first I said 3, due to the burns. I didnt even put it together that the Femoral Artery may be severed.

• general indications for fluid resuscitation:
  

  
  

  • 
    
    • 1. burns > 20% of bsa with adults
      
    • 2. burns > 10% of bsa with children
      
    • 3. age >65 or

each leg is 9%, but i have no idea what a foot or ankle would be.

My vote is for #1...

I would choose 1, since the patient is 88 year old, older people are risk for fluid deficit due to decreased fluid intake and at the same time he is going to have an operation on the fractured femur so she is at risk for life threatening fluid volume deficit from loss of blood during the operation..

Don't listen to these folks talking about the burn. 2nd degree burns form blisters almost right away. Fluid is trapped in those blisters but the burn to the ankles & feet isn't going to cause a LIFE THREATENING fluid deficit. (key in the questions, LIFE THREATENING) (All the choices may cause a fluid deficit)

A femur fracture will cause a life threatening fluid deficit, if the femoral artery is broken then you can bleed to death in minutes. If the fracture is not open you won't even notice the bleeding it will be internal. Both scenarios are LIFE THREATENING. Get an H&H STAT! lol

I'd bet $50 on my answer and rationale being right.