A client is prescribed to receive an intravenous infusion of a hypertonic solution. The nurse realizes that which of the following solutions are considered hypertonic? (Select all that apply.)
1. 0.45% Normal Saline
2. Dextrose 5% and 0.9% Normal Saline
3. Dextrose 5% and water
4. Dextrose 10% and water
5. Ringer's lactate
6. Dextran 5% in water
2, 4
Hypertonic solutions cause fluid to move out of the cells, resulting in shrinkage of the cells. Hypertonic solutions include Dextrose 5% and 0.9% Normal Saline and Dextrose 10% and water. Ringer's lactate is an isotonic solution. The solutions of 0.45% Normal Saline and Dextrose 5% and water are hypotonic. Dextran 5% in water is a plasma extender.
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A nurse is planning an educational event of safer sex. What topics does the nurse include? (Select all that apply.)
a. Proper use of condoms b. Avoidance of risky behaviors c. Need for routine examinations d. Avoidance of homosexual activity e. Symptoms of common STDs
Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?
a. A primigravida who is 17 years old b. A 22-year-old multiparous woman with ruptured membranes c. A multiparous woman at 39 weeks of gestation who is expecting twins d. A primigravida woman who has requested no analgesia during her labor
Which statement by the patient would indicate the need for additional education regard-ing the prescribed lithium treatment regimen?
a. "I will restrict my daily salt intake." b. "I will take my medications with food." c. "I will have my blood drawn on schedule." d. "I will drink 8 to 12 glasses of liquids daily."
The nurse is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
A) When the cheek of the baby is touched, the newborn turns toward the side that is touched. B) When the lateral aspect of the sole of the baby's foot is stroked, the toes extend and fan outward. C) When the baby is suddenly lowered or startled, the neonate's arms straighten outward and the knees flex. D) When the newborn is supine and the head is turned to one side, the arm on that same side extends.