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A nurse in the emergency department is caring for a client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing

Exhibits
due to

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.


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Related Questions

Correct Answer is ["5.6"]

Explanation

  • Convert the weight from pounds to kilograms: 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2).
  • The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, that's 450 mg/day (15 kg × 30 mg/kg).

This total daily dose should be divided into two doses administered every 12 hours, which equals 225 mg per dose (450 mg ÷ 2).

  • Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed to deliver a dose of 225 mg.

200 mg/5 mL = 225 mg/x mL, solving for x gives us 5.625 mL.

=Therefore, the nurse should administer 5.6 mL of the amoxicillin suspension every 12 hours to the toddler.

Correct Answer is B

Explanation

A. Notifying the laboratory is not the first action to take in this situation. While it's important to inform the laboratory about suspected transfusion reactions for further investigation and documentation, immediate patient care takes precedence to ensure the client's safety.

B. This is the correct action to take first. Stopping the infusion of blood is crucial to prevent further administration of the potentially harmful blood product. Suspecting an acute hemolytic reaction (symptoms like chills, back pain, and hypotension) necessitates immediate cessation of the transfusion to minimize complications.
C. Obtaining a urine specimen may be indicated later to assess for hemolysis and kidney function, but it is not the first action to take. The priority is to stop the transfusion and assess the client's condition to manage the suspected transfusion reaction.
D. While it's important to notify the provider promptly, stopping the transfusion (option B) is the first critical action to take in response to suspected acute transfusion reactions. The provider will need to be informed for further orders and management, but immediate cessation of the transfusion is essential to prevent worsening of the client's condition.

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