The nurse is providing care to a child experiencing shock. Which intravenous solution would the nurse expect to administer?
A) Ringer lactate
B) Dextrose 5% and water
C) Dextrose 5% and normal saline
D) Dextrose 10% and water
Ans: A
Isotonic fluids, such as Ringer lactate or normal saline, are the fluids of choice given rapidly to children experiencing shock. Dextrose solutions are contraindicated in shock because of the risk of complications such as osmotic diuresis, hypokalemia, hyperglycemia, and worsening of ischemic brain injury
You might also like to view...
Your patient with Crohn's Disease complains of eye pain and photophobia. This is likely related to:
A. Symptoms of temporal arteritis B. Altered pupil response due to uveitis C. Blurry vision due to bilateral cataracts D. Subconjunctival hemorrhage
A graduate nurse is nervous about caring for older adult patients because of the personality changes that occur with aging. How should the nurse's preceptor respond to this statement?
1. "Personality tends to stay stable through life, rarely showing signs of change during final years." 2. "The losses many elderly experience understandably will impact their personality." 3. "The personalities of the elderly do undergo some significant changes after the eighth decade of life." 4. "After retirement, feelings of disuse cause many elderly to begin demonstrating personality changes."
After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of "Family Coping, ineffective related to unanticipated pregnancy." Which of the following goals would be appropriate?
1. The teenager and family will participate in discussions regarding pregnancy. 2. The teenager and family will develop skills for parenting the infant. 3. The teenager and family will develop a trusting relationship with the health care providers. 4. The teenager and family will develop self-care skills for the pregnancy.
During the evaluation stage of the critical thinking model applied to a patient coping with stress, the nurse will
a. Select nursing interventions to promote the patient's adaptation to stress. b. Establish short- and long-term goals with the patient experiencing stress. c. Identify stress management interventions for achieving expected outcomes. d. Reassess patient's stress-related symptoms and compare with expected outcomes.