Intravenous therapy would be indicated if 1. hypertension were ...

[Frost2351]

Intravenous therapy would be indicated if
 
  1. hypertension were present.
  2. fluid intake were greater than 2500 mL/day.
  3. intake and output were deregulated.
  4. constipation were present.

Question 2

What is a priority outcome when a patient receives dextran 40 (Gentran 40)?
 
  1. The patient will immediately report any ototoxicity.
  2. The patient will immediately report any diarrhea.
  3. The patient will immediately report any hiccoughs.
  4. The patient will immediately report any itching or flushing.

[IRincones]

Answer to Question 1

Correct Answer: 3
Rationale 1: Hypertension would not require IV therapy.
Rationale 2: Fluid intake of 2500 mL/day is the average intake for adults.
Rationale 3: Intake and output imbalance would require IV therapy to treat dehydration or shock and correct fluid imbalance.
Rationale 4: Constipation might indicate lack of fluid, but would not require IV.

Answer to Question 2

Correct Answer: 4
Rationale: A small percentage of patients are allergic to dextran 40 (Gentran 40), with urticaria being the most common sign. The most important outcome is for the patient to report any allergic symptoms. Diarrhea is not a sign of an allergic reaction so is not the priority. Ototoxicity is not a sign of an allergic reaction so is not the priority. Hiccoughs are not a sign of an allergic reaction so are not the priority.

[Frost2351]

Excellent

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