The client has increased intracellular fluid volume. Which intravenous fluid does the nurse expect to administer to the client?
1. 3% saline solution
2. 5% dextrose in water
3. Normal saline solution
4. 5% dextrose with 0.45% saline solution
1
1. The client with increased intracellular fluid volume has deficient intravascular fluid volume because the intravascular fluid lacks enough osmotic pressure to keep fluid in the vascular space, so the provider prescribes hypertonic saline solution (3%). This increases the solute concentration in the vascular space and pulls fluid from the cells to restore fluid balance.
2 and 4. Dextrose 5% in water and 5% dextrose with half-strength saline solution ag-gravate excess intracellular fluid volume because they dilute the osmotic pressure in the intravascular space.
3. Normal saline solution is isotonic and the client needs a hypertonic solution to in-crease the intravascular osmotic pressure.
You might also like to view...
A 63-year-old Chinese-American man enters the hospital with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects the nurse's best course of action?
a. The nurse should focus on performing a full cardiac assessment. b. The nurse should focus on psychosomatic complaints because the patient has just learned that his wife has cancer. c. This patient is not in any danger at present; therefore, the nurse should send him home with instructions to contact his physician. d. It is unclear what is happening with this patient; consequently, the nurse should perform an assessment in both the physical and the psychosocial realms.
The nurse is caring for a patient who has an MRI scheduled. What does the nurse assess the patient for prior to the study?
A) Empty bladder B) Hibiclens bath C) Egg allergy D) Inability to tolerate required positions
__________ is a position in which the arms are flexed, fists are clenched, and the legs are extended
Fill in the blank(s) with correct word
A nursing instructor is teaching a class on osteoporosis. Which comment by a student regarding the risk factors for osteoporosis would indicate to the nursing instructor that further teaching is needed? (Select all that apply.)
a. Smoking d. Active lifestyle b. Regular alcohol use e. Excessive sugar in-take c. Being an African American woman f. Insufficient dietary potassium