Final answer:
The adult Rule of Nines is a method used to estimate the percentage of total body surface area burned in adults. According to this rule, the head is assigned 9%, the anterior chest is assigned 18%, and each anterior upper extremity is assigned 9%. In this case, the man has burns to the entire head, anterior chest, and both anterior upper extremities, resulting in a total of 45%. Therefore, the correct answer is D. 0.45.
Step-by-step explanation:
The adult Rule of Nines is a method used to estimate the percentage of total body surface area burned in adults. According to this rule, the head is assigned 9% of the total body surface area, the anterior chest is assigned 18%, and each anterior upper extremity is assigned 9%.
In this case, the man has burns to the entire head (9%), anterior chest (18%), and both anterior upper extremities (9% + 9%). Adding these percentages together gives a total of 45%. Therefore, the correct answer is D. 0.45.