When planning care, the nurse anticipates that which client will most likely require intravenous fluid replacement?
1. A client with a minor burn to the left arm
2. A client diagnosed with congestive heart failure
3. A client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)
4. A client diagnosed with shock
Correct Answer: 4
Rationale 1: A client diagnosed with a minor burn might not require intravenous fluid replacement. This is not the most likely client to receive fluid replacement.
Rationale 2: A client diagnosed with heart failure is likely in a state of fluid volume excess.
Rationale 3: A client diagnosed with SIADH is likely in a state of fluid volume excess.
Rationale 4: A client in shock will require intravenous fluid replacement secondary to hypotension and fluid shifting.
Global Rationale: A client in shock will require intravenous fluid replacement secondary to hypotension and fluid shifting. A client diagnosed with a minor burn might not require intravenous fluid replacement. This is not the most likely client to receive fluid replacement. A client diagnosed with heart failure is likely in a state of fluid volume excess. A client diagnosed with SIADH is likely in a state of fluid volume excess.
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