The nurse is caring for a group of patients on a medical-surgical unit. For which patients would the nurse anticipate the need for intravenous fluid therapy to correct fluid depletion?
1. A patient suffering from constipation
2. A patient exhibiting nausea and vomiting following a surgical procedure
3. A patient with a severe burn
4. A patient with congestive heart failure with edema to the lower extremities and rales
5. A patient with uncontrolled diabetic ketoacidosis
2,3,5
Rationale 1: A patient who is suffering from constipation will not need intravenous fluid due to fluid depletion. A patient with diarrhea may require intravenous fluid due to fluid depletion.
Rationale 2: A patient exhibiting nausea and vomiting may require intravenous fluid to avoid dehydration.
Rationale 3: A patient with a severe burn will often require intravenous fluid due to fluid depletion that occurs from fluid shifts.
Rationale 4: A patient with congestive heart failure retains fluid and will be on fluid restrictions.
Rationale 5: A patient with uncontrolled diabetic ketoacidosis often requires intravenous fluid administration for fluid depletion.
Global Rationale: A patient exhibiting nausea and vomiting may require intravenous fluid to avoid dehydration. A patient with a severe burn will often require intravenous fluid due to fluid depletion that occurs from fluid shifts. A patient with uncontrolled diabetic ketoacidosis often requires intravenous fluid administration for fluid depletion. A patient who is suffering from constipation will not need intravenous fluid due to fluid depletion. A patient with diarrhea may require intravenous fluid due to fluid depletion. A patient with congestive heart failure retains fluid and will be on fluid restrictions.
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