Which intravenous fluid solution should the nurse be prepared to administer as rehydration therapy for the client with hypertonic dehydration?
A. 0.9% saline
B. Dextrose 5% in water
C. Dextrose 5% in saline
D. Dextrose 5% in Ringer's lactate
B
Hypertonic dehydration occurs when fluid loss exceeds electrolyte loss, so that the client's re-maining extracellular fluid is hypertonic. Hypertonic dehydration is best treated with hypotonic fluids. Although dextrose 5% in water is isotonic in its container, upon infusion the dextrose is metabolized and the remaining water is hypotonic.
You might also like to view...
A critical care nurse recognizes that the following interventions can decrease negative physical, functional, and cognitive long-term outcomes associated with critical illness. (Select all that apply.)
a. Avoidance of restraints b. Medication management to enhance orientation c. Use of restraints d. Use of indwelling catheters e. Noise reduction
A client, learning that her baby has died in utero, is planning to carry the baby until natural delivery because abortion is against her religion. Which is the client demonstrating based on this data?
A) Fear of retribution B) Morals C) A healthy decision D) Sound judgement
While reviewing the medical record of a client with moderate dementia of the Alzheimer type, the nurse notes that the client has been receiving memantine. The nurse identifies this drug as which type?
A) Atypical antipsychotic B) Cholinesterase inhibitor C) NMDA receptor antagonist D) Benzodiazepine
To prevent a patient from thinking that chemotherapy is not effective or that the cancer is spreading, the healthcare worker should inform him or her of which of the following common side effects of chemotherapy?
A. dehydration B. alopecia C. fatigue D. bulimia