The nurse is working in the emergency department on a hot, humid day, when a hiker is brought in after collapsing. The hiker is confused and tachycardic with a temperature of 105.6° F (40.9° C)
Which IV solution and medication will the nurse have ready for the client? a. Normal saline and methylprednisolone (Solu-Medrol)
b. Lactated Ringer's solution and morphine sulfate
c. Normal saline and lorazepam (Ativan)
d. Dextrose 5% and diphenhydramine (Be-nadryl)
C
The client has heat stroke and is at risk for developing seizures, so the nurse should be prepared to administer lorazepam (Ativan) as needed. The optimal solution for clients with heat stroke is IV normal saline. Ringer's lactate solution cannot be used because the liver is unable to meta-bolize lactate during hyperthermia. Methylprednisolone and diphenhydramine would not be used to treat heat stroke.
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