The nurse is reviewing the client's medical record in preparation to administer 5% dextrose solution. Which findings would indicate a contraindication for this intravenous fluid?
Standard Text: Select all that apply.
1. Congestive heart failure
2. Hypoglycemia
3. Increased intracranial pressure
4. Hypernatremia
5. Hypercalcemia
Correct Answer: 1,3
Rationale 1: Congestive heart failure is a contraindication for the administration of 5% dextrose solution.
Rationale 2: Hyperglycemia, not hypoglycemia, is a contraindication for the administration of 5% dextrose solution.
Rationale 3: Increased intracranial pressure is a contraindication for the administration of 5% dextrose solution.
Rationale 4: Sodium chloride, not 5% dextrose solution, is contraindicated when a client is experiencing hypernatremia.
Rationale 5: Calcium, not 5% dextrose solution, is contraindicated when a client is experiencing hypercalcemia.
Global Rationale: Congestive heart failure and increased intracranial pressure are contraindications for the administration of 5% dextrose solution. Hyperglycemia, not hypoglycemia, is a contraindication for the administration of 5% dextrose solution. Sodium chloride, not 5% dextrose solution, is contraindicated when a client is experiencing hypernatremia. Calcium, not 5% dextrose solution, is contraindicated when a client is experiencing hypercalcemia.
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