The correct answer to the question is option B – infuse IV fluids at 83ml/hour
A shock can be a sign of significant volume loss in the body. To treat such, there has to be a rapid replacement of loss fluid with IV fluids. An infusion rate at about 83ml/hour cannot replace all the fluid loss in this client.
Monitoring urine output every hour, administering oxygen via nasal cannula at 3l/minutes and drawing samples of haemoglobin and haematocrit every 6 hours are appropriate and there is no reason to question such order.
Hope this helps.
\"infuse i.v. fluids at 83 ml/hour.\"-rationale: because shock signals a severe fluid volume loss of (750 to 1,300 ml), its treatment includes rapid i.v. fluid replacement to sustain homeostasis and prevent death. the nurse should expect to administer three times the estimated fluid loss to increase the circulating volume. an i.v. infusion rate of 83 ml/hour wouldnt begin to replace the necessary fluids and reverse the problem. monitoring urine output every hour, administering oxygen by nasal cannula at 3 l/minute, and drawing samples for hemoglobin and hematocrit every 6 hours are appropriate orders for this client. client needs category: physiological integrity client needs subcategory: pharmacological and parenteral therapies cognitive level: analysis reference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 364.