Author Question: A client with congestive heart failure is noted to have gained 17 pounds in the 2 weeks since the ... (Read 50 times)

ghost! · **on:** Jul 23, 2018

A client with congestive heart failure is noted to have gained 17 pounds in the 2 weeks since the last appointment. The nurse is aware that this represents an approximate fluid retention volume of which amount?

a. 5 L
b. 8 L
c. 10 L
d. 15 L

Question 2

A client is receiving D5 NSS via a peripheral IV. The client is prescribed to receive calcium gluconate (Kalcinate). The nurse knows that calcium should not be mixed with saline solution. What is the appropriate response from the nurse?

a. Ask the healthcare provider about changing the IV solution to 5 dextrose in water (D5W), because saline encourages calcium loss.
b. Do not give the medication because it is the wrong solution.
c. Report the healthcare provider immediately to the supervisor because it is the wrong solution.
d. Change the IV solution to D5W and report it later to the healthcare provider.

xiaomengxian · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
1 L of fluid weighs 1 kg: therefore 17 lb = 7.7 kg. Thus 8 L is the closest answer.

Answer to Question 2

ANS: A
Asking the healthcare provider about changing the IV solution to 5 dextrose in water (D5W) is the correct action to take when administering IV calcium. Saline encourages calcium loss.