A 5-year-old male presents to the ER with delirium and sunken eyes. After diagnosing him with severe dehydration, the primary care provider orders fluid replacement
The nurse administers a hypertonic intravenous solution. Which of the following would be ex-pected?
a. Symptoms subside quickly
b. Increased ICF volume
c. Decreased ECF volume
d. Intracellular dehydration
ANS: D
A hypertonic solution would cause fluid to move into the extracellular space, leading to intracel-lular dehydration. With this solution, his symptoms will not subside quickly because his cells will lose fluid. His intracellular volume will decrease and his extracellular volume will increase.
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