Difficulty: Medium
Average Score: 62%
Simulated
Passage / Scenario
The following scenario applies to the next 1 itemsThe nurse is caring for a client newly admitted to the medical-surgical unit
Item 1 of 1
NurseÔÇÖs Note
2100 ÔÇôA 17-year-old female was admitted with severe dehydration. The client was at school and 'blacked out.' The client is underweight and appears malnourished. She was diagnosed with anorexia nervosa two years ago. She endorsed suicidal ideations saying, 'she is tired of her body and wants to end it all.' She reports persistent dizziness and a headache.
Physician Orders
Primary Healthcare Provider (PHCP) Prescriptions
- 0.9% saline at 150 mL/hr
- Psychiatry consultation
- Fluoxetine 40 mg PO daily
- Daily weights
- Dietician consultation
- Supervise mealtimes
Based on the client's clinical data, the nurse should......... immediately based on the client's............
Correct answer
B,F
Rationale
Severe dehydration requires immediate fluid resuscitation with saline to stabilize the client's condition.