Jenny a 22-year-old female recently graduated from

Jenny a 22-year-old female recently graduated from college as a massage therapist. She is working at the local fast-food chain while trying to find a job in her new profession. She is engaged to Tim who is four years older and settled into a good job himself. One-night Jenny stayed late at work to empty the fryer, her co-worker was supposed to turn the heat off before he left for the night, but he forgot. When Jenny went to empty the fryer, the oil spilled on her. Immediately after the incident, she was rushed to the hospital by ambulance with the following: Full thickness burns to the entire right side of her face (anterior) Full thickness burns to both arms (anterior and posterior) from the shoulder to the wrist as well as both hands. Deep partial thickness burns to her abdomen. Full thickness burns bilaterally to her (anterior) thighs. On route to hospital the paramedics inserted a large bore angiocath into the right antecubital fossa with 0.9% NaCl is infusing at 100mls/hr. On arrival to hospital: She arrived at the hospital complaining of severe pain to her chest, abdomen and legs. She reports no pain to her face or arm. She is alert and orientated and responds appropriately to questions. Vital signs: T: 35.2, HR: 129, RR. 28, B/P: 88/42, SPO2: 95% (r/a) Weight: 68 kg Lab Values: Serum sodium is 130 (135-145) Serum potassium is 4.0 (3.5-5.0) Creatinine is 120 mmol/L (60-110 mmol/L) BUN is 12 mmol/L (2.5-7.1 mmol/L) Consider the following questions and answer fully: Document the objective and subjective data from Jenny’s case. Identify what the total body surface area (TBSA) is for Jenny using the Rule of Nines Chart. (Show your work) Based on your calculation, using the Parkland formula, what is the 24-hour fluid resuscitation that should be given to Jenny? (Show complete formulation and breakdown of fluid delivery for the 24 hours) Explain in detail how would assess if the fluid resuscitation is successful? (Support your work) Cluster the relevant data, minimum 3 clusters and identify what the clusters infer/suggest. Identify one data gap for each cluster and explain how this data would further inform the cluster. (Support your work) Based on the clusters created, what would be your Priority area of Assessment during the Emergent phase of Jenny’s burn injury? (Explain why) List 3 potential priority problems for Jenny – a priority problem would compromise her health outcome and should relate to her current pathophysiology What is the primary/priority nursing diagnosis for Jenny in the Emergent phase of a burn injury? (Proper formatting required) Write one (SMART) goal for Jenny based on the primary diagnosis you have determined.

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