A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?
3% sodium chloride
0.99% sodium chloride
Dextrose 59% in 0.99% sodium chloride
Dextrose 5% in 0.45% sodium chloride
The Correct Answer is A
A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Plasmapheresis is not a surgical procedure, nor does it involve the transplantation of plasma.
B. Plasmapheresis is not used for replacing clotting factors; it is primarily for removing harmful substances from the plasma.
C. Plasmapheresis is a procedure that removes antibodies from the blood that may be attacking the nerves, thereby reducing the autoimmune response in Guillain-Barré syndrome.
D. Plasmapheresis does not involve the removal of red blood cells; it focuses on the plasma component of the blood.
Correct Answer is B
Explanation
A. Blood cultures can identify causative organisms but are not definitive for meningitis.
B. Lumbar puncture is the definitive test for meningitis, as it allows for analysis of cerebrospinal fluid to confirm the diagnosis and identify the causative organism.
C. MRI can provide imaging of the brain but cannot definitively diagnose meningitis.
D. CT scan is useful for imaging but does not provide a definitive diagnosis of meningitis.
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