A toddler with pneumonia is prescribed intravenous fluids and antibiotics. Which type of intravenous fluid should the nurse expect to provide to this patient?
A) 0.9% normal saline
B) Dextrose 5% in 0.45% normal saline
C) Dextrose 10% in 0.9% normal saline
D) Dextrose 5% in 0.9% normal saline
A
Feedback:
Intravenous fluid administered to children must be isotonic to prevent destruction of red blood cells or development of water intoxication. The use of isotonic fluid prevents fluid shifting from the bloodstream into interstitial tissue or fluid shifting from interstitial tissue into the bloodstream. A 0.9% normal saline is the IV fluid most commonly used in children because it is isotonic. Solutions containing 5% dextrose or 10% are hypertonic and could cause fluid shifting from interstitial tissue into the blood stream.
You might also like to view...
Where would the nurse measure temperature if the client was confused and disoriented following rectal surgery?
1. Rectally 2. Orally 3. Axillary 4. Either orally or tympanically
Diphenhydramine (Benadryl) is an antiemetic; it is also used for which other conditions?
a. Headaches b. Edema c. Epistaxis d. Rash
When providing teaching to a patient, which action is important to help the patient in performing controlled coughing?
a. Repeat the breathing exercises twice. b. Cough two to three times and inhale between coughs. c. Place a pillow over the incisional site for splinting. d. Use the chest and shoulder muscles while inhaling during diaphragmatic breathing.
A drug specific toxicity of vincristine that is not shared with other anti-cancer drugs is
A. Nephrotoxicity B. Ototoxicity C. Peripheral nerve damage D. Pulmonary fibrosis