Asked by Victoria Ronga on May 03, 2024
Verified
A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output. In the past 4 hours, the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips. The patient also has an NG suction tube set to low continuous suction that had 300-mL output. The patient has voided 400 mL of urine. After reporting these values to the health care provider, which order does the nurse anticipate?
A) Add a potassium supplement to replace loss from output.
B) Decrease the rate of intravenous fluids to 100 mL/hr.
C) Administer a diuretic to prevent fluid volume excess.
D) Discontinue the nasogastric suctioning.
Nasogastric Suction
A medical procedure involving the insertion of a plastic tube through the nose, past the throat, and down into the stomach to remove contents.
Dextrose
A simple sugar and a form of glucose that is often used in medical settings as an intravenous energy source.
Sodium Chloride
Commonly known as table salt, it is an ionic compound with the chemical formula NaCl, essential for life in small quantities.
- Oversee the safe execution of intravenous therapy, focusing on IV line management and the facilitation of blood transfusions.
- Discern and obstruct possible complications arising from intravenous therapy.
Verified Answer
KD
Kendall DurrettMay 07, 2024
Final Answer :
A
Explanation :
The total fluid intake and output equals 700 mL, which meets the provider goals. Patients with nasogastric suctioning are at risk for potassium deficit, so the nurse would anticipate a potassium supplement to correct this condition. Remember to record half the volume of ice chips when calculating intake. The other measures would be unnecessary because the net fluid volume is equal.
Learning Objectives
- Oversee the safe execution of intravenous therapy, focusing on IV line management and the facilitation of blood transfusions.
- Discern and obstruct possible complications arising from intravenous therapy.