A client who has acidosis resulting from hypovolemic shock has been prescribed intravenous fluid replacement. Which fluid does the nurse prepare to administer?
a. Normal saline
b. Ringer's lactate
c. 5% dextrose in water
d. 5% dextrose in 0.45% normal saline
B
Ringer's lactate is an isotonic solution that acts as a volume expander. Also, the lactate acts as a buffer in the presence of acidosis. The other solutions do not contain any substance that would buffer or correct the client's acidosis.
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The nurse is caring for a client who has been given 6 months to live after being diagnosed with stage 4 cancer of the lung. Evidence that the client is in the bargaining stage of death and dying is demonstrated by which of the following statements?
a. "Not me." b. "Why me?" c. "Yes, me." d. "Let me."
It is determined that a patient has poor cardiac contractility. The nurse realizes that which of the following medications would help this patient?
1. hydralazine 2. digoxin 3. hydrochlorothiazide 4. Aldomet
Your calculations indicate that you should give six tablets. It is all right to give this dose
Indicate whether the statement is true or false
A patient who has schizophrenia suddenly verbally attacks you for being "one of them" and screams, "You are trying to hurt me, too!" Your most therapeutic response is:
A) "You know that is not true!" B) Silence. C) "I'd be angry, too. They are being terrible toward you!" D) "It must be frightening to feel so threatened."