This question was created from NURS6560-Midterm18.docx

Lilly M. is a 44—year-old female who is transferred to the emergency department
following a severe fail. She had been standing on the balcony of afour—story building
and tried to balance on the railing. She fell and sustained numerous internal and
extemai injuries. in the emergency room she was in profound hypovolemic shock.
Bleeding appears to have been stopped. and rapid infusion of 2 L of normal saline has
just been completed. The AGACNP knows that the next step in fluid resuscitation
includes: A.Transfusion of packed red blood cells {PRECsi based on hematocrit El. lnfusior
of l L of lactated Ringer’s C. 1 more liter of normal saline solution {N55} over 10
minutes [Lilo additional fluid unless the systolic blood pressure {SBPl is c: EIEI
mm Hg