The nurse assesses the adult patient who weighs 132lb and discovers the following areas to be affected by burns: anterior trunk, anterior and posterior right leg, and anterior and posterior right arm. Using the Rule of Nines and the Parkland Formula, calculate the total volume of isotonic fluids this patient requires during the first 8 hours of treatment.

A. This is incorrect B. First calculate the total body surface area (TBSA) burned using the Rule of Nines: Anterior trunk = 18% Right leg (anterior + posterior) = 18% Right arm (anterior + posterior) = 9% Total TBSA burned = 18 + 18 + 9 = 45% Next, convert the patient's weight from pounds to kilograms: 132 lb ÷ 2.2 = 60 kg Using the Parkland Formula: 4 mL × body weight (kg) × TBSA (%) = total fluid volume for 24 hours Calculation: 4 × 60 × 45 = 10,800 mL Half of this volume is given in the first 8 hours: 10,800 ÷ 2 = 5,400 mL Answer: B. Rationale: The Rule of Nines estimates 45% TBSA burned. The Parkland Formula calculates 4 mL × 60 kg × 45 = 10,800 mL total fluids over 24 hours. Half (5,400 mL) is administered in the first 8 hours. C. This is incorrect D. This is incorrect