Which patient should receive an IV solution of 0.9% NaCL

A trauma patient with massive hemorrhage

A patient with a serum calcium 7.0 mg/dL

A patient with CHF and acute pulmonary edema

A patient being on dialysis

Answer and Explanation

The Correct Answer is A

A. A trauma patient with massive hemorrhage: 0.9% NaCl (normal saline) is an isotonic crystalloid appropriate for rapid volume resuscitation in hemorrhagic shock.
B. A patient with a serum calcium 7.0 mg/dL: Hypocalcemia needs calcium replacement (e.g., calcium gluconate), not specifically 0.9% NaCl as the primary correction.
C. A patient with CHF and acute pulmonary edema: Patients with CHF/pulmonary edema generally require careful fluid restriction and diuresis -isotonic boluses are usually contraindicated.
D. A patient being on dialysis: Dialysis patients often have fluid balance restrictions; routine isotonic IV fluid is not automatically indicated.

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Correct Answer is D

Explanation

A. Water-soluble minerals: While some minerals are needed, they are not the primary therapy to facilitate fat digestion in CF.
B. Fat-soluble vitamins: CF patients need ADEK supplementation, but this does not by itself facilitate digestion/absorption.
C. Salt supplements: Sometimes indicated in hot weather, but not the primary agent to facilitate digestion/absorption.
D. Pancreatic enzyme: Pancreatic enzyme replacement (pancrelipase) is given to CF patients to digest fats/proteins and improve nutrient absorption.

A. Seafood B. Penicillin C. Red food dye D. Bee stings

Correct Answer is A

Explanation

A. Seafood: A history of seafood (shellfish) allergy is commonly considered an alert for potential allergic reaction to iodinated contrast media; the nurse should notify the provider to discuss premedication or alternative imaging.
B. Penicillin: Penicillin allergy does not specifically predict contrast dye reactions; it’s important to document but not the most urgent for IV contrast.
C. Red food dye: Food-dye allergy is generally less relevant to iodinated contrast reactions and less likely to necessitate urgent provider contact.
D. Bee stings: Insect-sting allergy is important history but does not specifically increase risk for contrast media reaction.

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Which patient should receive an IV solution of 0.9% NaCL

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