A client is brought to the emergency department after sustaining third-degree burns over 50% of the body.

Which solution is the best choice for fluid resuscitation in this client?1. 0.45% normal saline
2. 5% dextrose in 0.9% normal saline (D5NS)
3. 5% dextrose in water (D5W)
4. Lactated Ringer's solution

Answers

Answer 1

Answer:

Lactated Ringer's solution

Explanation:

After a burn injury, the patient usualy goes into hypovolemia (rapid loss in blood or bodily fluids because of severe bleeding from injury) this results in hypoperfusion (low blood flow), therefore fluid resuscitation is required in order to replace the lost fluids.

Ringers lactate is generally used because it helps to replace fluids and electrolytes in order increase the blood pressure, it is also used because the by-products of lactate metabolism in the liver counteract the acidosis, which is a chemical imbalance that occurs with acute loss of fluid or kidney failure


Related Questions

The nurse is seeing a client for follow up after chemotherapy in the outpatient clinic. The client states, "Over the last week, I’ve been losing handfuls of my hair in the shower. I don’t want to shave my head but I don’t want people to stare at me either." Based on the client’s statement, what should the nurse include in the client’s care plan?

Answers

Explanation:

Cancer is a general term used to describe a disturbance of cellular growth which can arise from any body tissue, with manifestations that result from failure to control the proliferation and maturation of cells.

Cancer Care Plan template helps to  map out your care from before treatment begins through when it ends. This plan involves three parts: Treatment Care Plan, Treatment Summary and Follow-up Survivor Care Plan. The Cancer survivors need to be monitored for the rest of their lives and have different health care needs than before they were diagnosed.  The Follow-Up Survivorship Care Plan helps to ensure that all of the members of health care team know what follow-up is needed, when it is needed, and who you should see for that care.

Nurses have a huge set of responsibilities for handling a patient with cancer which includes assessment, support for therapies (e.g., chemotherapy, radiation, etc.), pain control, promoting nutrition, and emotional support.  The client who over the last week have been losing handfuls of her hair in the shower and does not want to shave it and does not want people to stare at her either needs these to be included in her care plan by the nurse:

Acknowledge difficulties patient may be experiencing.  Give information that counseling is often necessary and important in the adaptation process. Evaluate support structures available to and used by patient which includes the use of hairpiece, wigs or some other type of headwear. Free wigs are available are available to patients suffering from hair loss due to cancer treatments. Provide emotional support for patient  during diagnostic tests and treatment phase.

Final answer:

The nurse should provide reassurance, support, and education to the client about coping with hair loss after chemotherapy.

Explanation:

The nurse should include the following in the client's care plan:

Provide reassurance to the client that hair loss is a common side effect of chemotherapy and that it will usually grow back after the treatment is over.Offer support and resources for the client to cope with the emotional impact of hair loss, such as connecting them with support groups or providing information on wigs and scarves.Educate the client on ways to care for their scalp and remaining hair, including gentle washing, avoiding heat styling tools, and using a soft brush or comb.

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Scientists developed a vaccine to protect humans from the h1n1 virus. what is the name of this vaccine?

Answers

Answer:

The vaccine that protect humans from the h1n1 virus is called Panvax vaccine or swine flu vaccines.

Explanation:They are inactivated H1N1 virus vaccines used for immunization of individuals 6 months of age and older against influenza disease caused by H1N1 2009 virus.

It was basically the Swine Flu Vaccine. Although there is a vaccine, many people still contract this virus, but really rarely.

Which type of disease is typically associated with altered function in proteins that bind to gas molecules?
a)metabolic
b)sickle cell
c)cancer
d)neurodegenrative

Answers

Answer:

B. Sickle cell

Explanation:

Sickle cell disease also called sickle cell anaemia is characterized by a deformed haemoglobin.

B). Sickle cell


Sickle cell is a distorted protein because she has a different shape than ordinary

Identify the adult learning principle :

a. Adults do not need content to be relevant to their position.

b. Adults like to be told what to do.

c. Adults need to know why.

d. Adults do not have to be prepared to learn.

Answers

Answer: C.

Explanation: Adults are motivated to put time and energy into learning if they know the benefits of learning or not learning.

Answer:

Option C is correct

Explanation:

The learning must be relevant to their daily activity(work) and responsibilities for learning to have value to them so that the disturbing question of why they are learning is answered.

The treatment for the ingestion of ethylene glycol is an intravenous solution of ethanol. How might this help prevent toxic levels of oxalic acid in the body

Answers

Answer:

Ethanol prevents toxicity by competing with Ethylene glycol for metabolism by alcohol dehydrogenase.

Explanation:

Ethylene glycol is an organic compound usually used in antifreeze solutions, solvents and cleaners.

It is abused during self-destruction and accidental intakes.

In the body, ethylene glycol is acted upon by alcohol dehydrogenase and is converted into glycolate and oxalate.

Glycolate and oxalate are both nephrotoxic/ kidney damaging substances. Oxalate precipitates calcium oxalate stones in the kidney. Ethylene glycol poisoning also causes high anion gap metabolic acidosis.

In order to prevent ethylene glycol poisoning, the patient is infused with ethanol, ethanol prevents toxicity by competing with Ethylene glycol for metabolism by alcohol dehydrogenase. In this way, ethylene glycol is not metabolized and the formation of nephrotoxic substances is prevented. Alcohol dehydrogenase instead reacts with ethanol to form acetaldehyde.

Final answer:

Ethanol is given as a treatment for ethylene glycol poisoning because it competes for the same enzyme, alcohol dehydrogenase, that metabolizes ethylene glycol. This slows down the conversion of ethylene glycol into harmful compounds like oxalic acid, thus preventing their buildup in the body.

Explanation:

The treatment of the ingestion of ethylene glycol, a toxic substance, with an intravenous solution of ethanol can prevent the buildup of oxalic acid, a harmful compound, in the body. The reason for this is that both ethanol and ethylene glycol are metabolized, or broken down, in the body by the same enzyme: alcohol dehydrogenase. By introducing ethanol into the system, the enzyme is occupied with breaking down the ethanol, slowing down the metabolization of ethylene glycol. This reduces the rate at which ethylene glycol is transformed into harmful acids, including oxalic acid and glycolic acid.

Ethylene glycol is metabolized in the body into glycolaldehyde, which then turns into glyoxylic acid and finally, oxalic acid. Oxalic acid can harm kidneys by forming kidney stones with calcium. It also has the potential to crystallize in the brain, heart, lungs, and kidneys, causing damage.

By administering an ethanol solution intravenously, the formation of these harmful acids is inhibited, thereby preventing potential damage or toxicity. It's essential that this is done under a doctor's supervision as too much ethanol can lead to alcohol poisoning.

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Required film mount information would include all of the following except the:

Answers

Answer:

Number of Radiographs

Explanation:

The following information is placed on a film mount:

1.Use a silver pencil and properly label the film holder before actually mounting the films.

2.Write clearly and legibly: + Patients full name + Date of exposure. (Won't necessarily need to document this info. in a dental office, however at CCD it is a requirement to notate the name of the prescribing dentist + radiographer's name)

3.For Digital: The computer automatically labels the "mount" with the patients name, and date. 4.The student radiographer needs to add the name of the prescribing dentist and their name in the clinical notes under "A" of Adpie.

Therefore Number of radiographs is not part of the information required

Final answer:

The temperature of the developing solution is not typically required on the film mount. The film mount generally includes the patient's name, the date of the x-ray, and the dentist's name.

Explanation:

When mounting a film, several pieces of information are typically required. This could include things like the name of the patient, the date of the x-ray, and the dentist's name. However, one piece of information that isn't typically required on the film mount is the temperature of the developing solution. While the temperature of the developing solution is an important factor in film development and can affect the quality of the film, it's not usually included on the film mount.

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