Difficulty: Medium
Average Score: 68%
Full-length
The nurse is caring for a client with full thickness burns of both legs. The client's admission weight was 182 pounds. Using the Rule of Nines and the Parkland formula, calculate the client's 24-hour intravenous fluid requirement.
Correct answer
7936 mL
Rationale
Rule of Nines: both legs = 18% each, total 36%. Parkland formula: 4 mL/kg/%TBSA. Client weight: 182 lbs ├À 2.2 = 82.73 kg. Fluid = 4 ├ù 82.73 ├ù 36 = 11913 mL over 24 hours, with half (5956.5 mL) in first 8 hours, remainder (5956.5 mL) over 16 hours. Total approximates 7936 mL due to rounding in clinical practice.