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Author Question: The nurse has an order for isotonic crystalloid solution to treat a child with hypoperfusion. Which ... (Read 41 times)

tth

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on: Jun 28, 2018
The nurse has an order for isotonic crystalloid solution to treat a child with hypoperfusion. Which solution does the nurse choose?
 
  A.
  Albumin
  B.
  D5W (5 dextrose in water)
  C.
  Normal saline
  D.
  Whole blood

Question 2

A child has a radial arterial line in place. The nurse assesses the distal fingertips as cool and pale. Which action is most appropriate based on these assessment findings?
 
  A.
  Apply warm, moist heat.
  B.
  Disconnect the device.
  C.
  Elevate the extremity.
  D.
  Notify the provider.


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lou

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
Crystalloids are fluids that are crystal clearyou can see through them. Colloids have more solvents in them. Crystalloids include most standard IV solutions. Colloids include blood products and albumen. Normal saline and lactated Ringer's solution are isotonic. D5W is physiologically hypotonic. The nurse should choose normal saline.

Answer to Question 2

ANS: D
An invasive device within an artery can disrupt arterial blood flow to the distal tissues. The nurse should notify the provider so the arterial line can be moved, or possibly discontinued. Warm, moist heat will not increase perfusion that is disrupted mechanically. Elevating the extremity will decrease perfusion further. The nurse should not disconnect the device.


tth

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Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

brbarasa

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

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