The nurse is reviewing a client's lab values, which indicate normal serum osmolality. Which intravenous solutions will not cause a fluid shift in this client?
1. Colloids
2. Isotonic solutions
3. Hypertonic solutions
4. Hypotonic solutions
Correct Answer: 2
Rationale 1: Colloids will likely cause a shift of fluid from the interstitial and/or intracellular space to the intravascular space.
Rationale 2: Isotonic solutions will likely cause no fluid shift in this client.
Rationale 3: Hypertonic solutions will likely cause a shift of fluid from the interstitial and/or intracellular space to the intravascular space.
Rationale 4: Hypotonic solutions will likely cause a shift of fluid from the intravascular space to the interstitial and/or intracellular space.
Global Rationale: Isotonic solutions will likely cause no fluid shift in this client. Colloids will likely cause a shift of fluid from the interstitial and/or intracellular space to the intravascular space. Hypertonic solutions will likely cause a shift of fluid from the interstitial and/or intracellular space to the intravascular space.
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