CCRN Critical Care Nursing

Category - Pediatrics

An infant with Myelomeningocoele underwent a surgical repair. Suddenly, the client developed metabolic acidosis, notable decreased urinary output and diarrhea. The nurse at the unit anticipates that the doctor will order:
  1. Hypertonic saline
  2. Potassium chloride
  3. Isotonic saline
  4. Sodium Lactate
Explanation
Answer: D - T o correct the sodium deficit and metabolic acidosis, the client needs Sodium Lactate. Sodium Lactate is converted to sodium bicarbonate. Saline intensifies acidosis. Potassium will only be given once kidney function was restored.
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