The nurse working in the emergency department is caring for a client who experienced deep-thickness burns over 40% of the body and is in shock. Which order should the nurse anticipate for this client?
1. Electrolyte solutions
2. Volume expanders
3. Nutrient solutions
4. Total parenteral nutrition
2
Rationale 1: Once vital signs are stabilized, the primary care provider may order electrolyte solutions.
Rationale 2: Initially, the client who is in shock will require volume expanders.
Rationale 3: Nutritional solutions would not be a priority concern this early in the client's course of treatment.
Rationale 4: Long term, this client might require total parenteral nutrition if he is unable to maintain adequate calorie intake orally.
Global Rationale: Initially, the client who is in shock will require volume expanders. Once vital signs are stabilized, the primary care provider may order electrolyte solutions. Long term, this client might require total parenteral nutrition if he is unable to maintain adequate calorie intake orally, but nutritional solutions would not be a priority concern this early in the client's course of treatment.
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