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Author Question: The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and ... (Read 73 times)

sc00by25

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on: Jun 25, 2018
The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea . The nurse anticipates what type of intravenous fluid to be ordered by the health care provider?
 
  a. Hypotonic or isotonic solutions
  b. Hypertonic or isotonic solutions
  c. Hypertonic solutions only
  d. Whole blood

Question 2

The nurse knows that _______________ is the proper term to describe that the patient's water seal is fluctuating up and down with each breath.
 
  a. bubbling
  b. tidaling
  c. fluttering
  d. alternating


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amandanbreshears

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Reply #1 on: Jun 25, 2018
Answer to Question 1

A
Hypotonic solutions are administered for cellular dehydration, whereas isotonic solutions replace intravascular fluid, so both of these might be appropriate for this patient. Hypertonic solutions pull fluid from extravascular spaces and would not be appropriate for this patient. Whole blood is not indicated because there is no evidence of blood loss.

Answer to Question 2

B
The term for the fluctuation of the water-seal chamber when the patient breathes is tidaling. Bubbling is different from tidaling, because bubbling is the presence of gas moving through the chamber, whereas tidaling is an up and down movement that correlates with the patient's breathing. Fluttering and alternating reflect incorrect terminology.


sc00by25

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

ricroger

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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