Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
A 24-year-old male arrives at the emergency department via air transport after sustaining a fall while rock climbing. The patient is minimally responsive with sluggishly reactive pupils upon arrival. He is requiring support with mechanical ventilation. A CT scan reveals multiple head bleeds and intracranial swelling. The patient has obvious fractures of his bilateral upper extremities and right leg. The patient is rushed to surgery with the plan to relieve the pressure of the intracranial swelling.
-You are preparing to administer hypertonic saline.Which of the following solutions would you expect the physician to order to produce the desired physiological effect in the patient?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
  A 24-year-old male arrives at the emergency department via air transport after sustaining a fall while rock climbing. The patient is minimally responsive with sluggishly reactive pupils upon arrival. He is requiring support with mechanical ventilation. A CT scan reveals multiple head bleeds and intracranial swelling. The patient has obvious fractures of his bilateral upper extremities and right leg. The patient is rushed to surgery with the plan to relieve the pressure of the intracranial swelling.
-You are preparing to administer hypertonic saline.Which of the following solutions would you expect the physician to order to produce the desired physiological effect in the patient?

Quizplus · Accepted Answer

Hypertonic saline is used to reduce intracranial pressure and cerebral edema. 3% sodium chloride is the most concentrated hypertonic saline solution available, making it the best choice to achieve the desired physiological effect.

Please Read the Clinical Scenario, and Then Answer the Question