The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
1. 0.9% normal saline (NS)
2. D5 0.2% (¼) normal saline
3. D5W
4. Albumin
1
Explanation:
1. 0.9% normal saline (NS) is an isotonic fluid and maintains Na and chloride at present levels.
2. D5 0.2% (¼) normal saline would not be used initially but later, as maintenance fluids.
3. D5W can lower sodium levels, and so it would not be used to replace fluids in severe isotonic dehydration.
4. Albumin is used to restore plasma proteins.
You might also like to view...
A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this
a. Signs of stress b. Developmental delay c. Lack of adjustment to school environment d. Physical problem that needs medical intervention
A patient will be receiving busulfan (Myleran) as treatment for leukemia. Which intervention should the nurse include in the plan of care for this patient?
1. Assess for infection. 2. Administer anti-emetic prior to chemotherapy. 3. Assess oral mucous membranes. 4. Check stool for occult blood.
The nurse is preparing to auscultate a patient's heart sounds. At which location will S1 be heard the loudest?
1. left midclavicular line at the fifth intercostal space 2. left sternal border at the fifth intercostal space 3. right midclavicular line at the fifth intercostal space 4. right sternal border at the third intercostal space
Which of the following minerals and vitamins are usually recommended to supplement a pregnant woman's diet?
1. Fat-soluble vitamins A and D 2. Water-soluble vitamins C and B6 3. Iron and folate 4. Calcium and zinc