Please Read the Clinical Scenario, and Then Answer the Question

question 72

Multiple Choice

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?

• A)0.45% sodium chloride
• B)0.9% sodium chloride
• C)0.9% sodium chloride with dextrose
• D)3% sodium chloride

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Definitions:

Huff Coughing

A technique to clear mucus from the lungs by taking a deep breath and forcefully exhaling in a series of "huff" sounds.

Spinal Anesthesia

A type of regional anesthesia involving the injection of a local anesthetic into the cerebrospinal fluid surrounding the spinal cord, blocking sensation from the lower body.

Spinal Headaches

Headaches that occur from a leakage of cerebrospinal fluid, often after a lumbar puncture procedure.

Supine

A posture in which an individual rests on their back, looking upwards, commonly employed during medical assessments or interventions.