A nurse is caring for a client who is suffering from an acute hemorrhage after a traumatic injury. The nurse has secured the client's airway, breathing, and circulation and has started a large-bore IV. Which of the following solutions should the nurse administer first?
a. O neg whole blood
b. Plasma
c. Sodium bicarbonate
d. Crystalloid IV solution
d. Crystalloid IV solution
rationale: "Crystalloid IV solution" is correct. A client who is suffering from a severe hemorrhage should have volume replacement in the circulatory system to prevent further complications of hypoperfusion. The first line of treatment is administration of a crystalloid IV solution, such as 0.9% Normal Saline, to restore fluid volume in the cardiovascular system. Crystalloids are widely available, inexpensive, and can be immediately administered without any client testing. After initial resuscitation, the nurse can expect to administer other products, such as plasma, whole blood or packed red blood cells, as ordered.
You might also like to view...
When caring for a client with fecal incontinence, the nurse provides an absorbent pad to protect clothing and bed linens. The nurse knows that fecal incontinence is primarily the result of which of the following factors?
A) Nature and amount of food consumed B) Drinking and smoking habits of client C) Neurologic changes that impair muscle activity D) Social and emotional setting of client
A client has returned from the recovery room after undergoing a urinary diversion. The nurse should monitor the stoma for:
1. blanching. 2. erosion of skin around the stoma. 3. decreased urine output. 4. blood in the urine.
A patient with angina who is taking ranolazine (Ranexa) has developed a respiratory infection and a dysrhythmia
The provider has ordered azithromycin (Zithromax) for the infection and amlodipine for the dysrhythmia. A nursing student caring for this patient tells the nurse that the patient's heart rate is 70 beats per minute, and the blood pressure is 128/80 mm Hg. The nurse asks the student to discuss the plan for this patient's care. Which action is correct? a. Observe the patient closely for signs of respiratory toxicity. b. Question the order for azithromycin (Zithromax). c. Report the patient's increase in blood pressure to the provider. d. Request an order for a different calcium channel blocker.
A client's BUN test results are significantly elevated. When reviewing the client's history, which finding is consistent with BUN elevation other than renal compromise?
A) The client is on a low protein diet. B) The client is dehydrated. C) The client has a history of osteoarthritis. D) The client is lactose intolerant.