NursingPlex
    Sign In
    Ati Lpn Med Surg Electrolyte Proctored Exam(Delaware College)

    A nurse is assisting with the care of a client who is hypovolemic due to blood loss following a motor-vehicle crash and needs a blood transfusion Immediately. The nurse should anticipate a prescription for which of the following IV solutions while awaiting blood from a type and cross-match?

    Explanation & Rationale

    A. 0.45% sodium chloride is a hypotonic solution and is not appropriate for rapid volume replacement in acute hypovolemia because it can shift fluid into cells rather than expand intravascular volume effectively. B. Dextrose 10% in water is hypertonic once dextrose is metabolized and does not remain in the intravascular space, making it unsuitable for immediate volume resuscitation. C. Lactated Ringer’s is an isotonic crystalloid solution that effectively expands intravascular volume and is commonly used for fluid resuscitation in hypovolemic patients while awaiting blood transfusion. It also contains electrolytes that help maintain acid-base balance. D. 0.33% sodium chloride is hypotonic and will not adequately restore circulating blood volume in cases of acute blood loss.

    🔒 Submit your answer to reveal