Author Question: A patient is experiencing an anaphylactic reaction. Which IV solution does the nurse anticipate will ... (Read 58 times)

savannahhooper · **on:** Jun 28, 2018

A patient is experiencing an anaphylactic reaction. Which IV solution does the nurse anticipate will be ordered for this patient?

A.
0.45 normal saline
B.
5 dextrose in water
C.
0.9 normal saline
D.
3 saline

Question 2

A parent calls a pediatric information line worried about muscular dystrophy because her daughter has new onset of muscle weakness. Which question by the nurse would elicit the most useful information?

A.
Does anyone else in your house have this?
B.
Does this seem to come and go sporadically?
C.
Does your child have a rash on her face?
D.
Does your daughter complain of stiffness?

AmberC1996 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The fluid of choice in any emergency is an isotonic crystalloid; 0.9 normal saline is isotonic, 0.45 normal saline and 5 dextrose in water are both hypotonic, and 3 saline is hypertonic.

Answer to Question 2

ANS: C
Dermatomyositis is an autoimmune disorder characterized by proximal muscle weakness, a red-purple facial rash, possibly a rash similar to that seen in systemic lupus erythematosus, tender and stiff muscles, voice changes, and dysphagia. The muscle weakness combined with the facial rash would provide the nurse a basis to suspect this disorder. This is not contagious nor is it inherited, so asking about others' symptoms would not be helpful. It is not characterized by exacerbations and remissions, and although stiffness is a common manifestation, that could be indicative of many other conditions.