The nurse is caring for a group of clients on a medical–surgical unit. For which clients would the nurse anticipate the need for intravenous fluid therapy to correct fluid depletion?
Standard Text: Select all that apply.
1. A client suffering from constipation
2. A client exhibiting nausea and vomiting following a surgical procedure
3. A client with a severe burn
4. A client with congestive heart failure with edema to the lower extremities and rales
5. A client with uncontrolled diabetic ketoacidosis
Correct Answer: 2,3,5
Rationale 1: A client who is suffering from constipation will not need intravenous fluid due to fluid depletion. A client with diarrhea may require intravenous fluid due to fluid depletion.
Rationale 2: A client exhibiting nausea and vomiting may require intravenous fluid to avoid dehydration.
Rationale 3: A client with a severe burn will often require intravenous fluid due to fluid depletion that occurs from fluid shifts.
Rationale 4: A client with congestive heart failure retains fluid and will be on fluid restrictions.
Rationale 5: A client with uncontrolled diabetic ketoacidosis often requires intravenous fluid administration for fluid depletion.
Global Rationale: A client exhibiting nausea and vomiting may require intravenous fluid to avoid dehydration. A client with a severe burn will often require intravenous fluid due to fluid depletion that occurs from fluid shifts. A client with uncontrolled diabetic ketoacidosis often requires intravenous fluid administration for fluid depletion. A client who is suffering from constipation will not need intravenous fluid due to fluid depletion. A client with diarrhea may require intravenous fluid due to fluid depletion. A client with congestive heart failure retains fluid and will be on fluid restrictions.
You might also like to view...
The nurse is performing passive range-of-motion exercises on his patient when the patient begins to complain of pain. What is the first thing the nurse should do?
a. Notify the health care provider. b. Hyperextend the joint. c. Stop the range of motion. d. Switch to active range of motion.
Which of the following endocrine glands stores vasopressin (antidiuretic hormone)?
a. adrenal medulla c. posterior pituitary b. adrenal cortex d. anterior pituitary
The nurse is caring for a patient experiencing diabetic ketoacidosis. What action should the nurse take when preparing this patient's insulin infusion? Select all that apply.
A. Discontinue the infusion after first dose of subcutaneous insulin. B. Flush the tubing with the insulin solution before connecting. C. Attach insulin infusion to an intravenous pump. D. Prepare an infusion of Dextrose 5% and 0.45% normal saline. E. Have one ampule of Dextrose 10% at the bedside.
A patient has an order for metoclopramide 5 mg IV every 6 hours for a patient with high gastric residuals. Using a vial with a 10 mg/mL concentration, how many milliliters would be administered with each dose? ____________
Fill in the blank(s) with correct word