Question

A client involved in a MVA presents to the ED with severe internal bleeding. The client is severely hypotensive and unresponsive. The nurse anticipates that which IV solution will MOST LIKELY be prescribed?

A. 5% dextrose in lactated Ringer's
B. 0.33% sodium chloride (1/3 NS)
C. 0.225% sodium chloride (1/4 NS)
D. 0.45% sodium chloride (1/2 NS)

Answer 1

The nurse would most likely prescribe 0.9% sodium chloride (normal saline) for the severely hypotensive and unresponsive client with severe internal bleeding from a MVA.

Step-by-step explanation:

The nurse would most likely prescribe 0.9% sodium chloride (normal saline) for the client who is severely hypotensive and unresponsive due to severe internal bleeding from a motor vehicle accident (MVA).

Normal saline is an isotonic solution, meaning it has the same concentration of electrolytes as the body's fluids. It can help restore intravascular volume, increase blood pressure, and improve tissue perfusion.

Other options mentioned, such as 5% dextrose in lactated Ringer's, 0.33% sodium chloride (1/3 NS), and 0.225% sodium chloride (1/4 NS), are not commonly used for severe hypotension and internal bleeding.