Author Question: A client experiences a loss of intracellular fluid. The nurse anticipates that which of the ... (Read 40 times)

ashley · **on:** Jul 22, 2018

A client experiences a loss of intracellular fluid. The nurse anticipates that which of the following IV therapies will be used to replace this type of fluid loss?

a. 0.45 normal saline (NS)
b. 10 dextrose
c. 5 dextrose in lactated Ringer's
d. Dextrose 5 in 1/2 NS

Question 2

The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. What does the nurse do just before changing the dressing?

a. Assesses the patient's readiness for the procedure
b. Gathers and organizes needed supplies
c. Decides on goals and outcomes for the patient
d. Calls for assistance from another nursing staff member

adf223 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
The client will need a hypotonic solution, such as 0.45 NS. A hypotonic solution has an osmo-lality that is less than body fluids, so the cells will draw the fluid in, which is the desired effect when the client has experienced a loss of intracellular fluid.
Ten percent dextrose is a hypertonic solution that will draw fluid into the vascular space.
Five percent dextrose in lactated Ringer's is a hypertonic solution. Hypertonic solutions pull fluid into the vascular space by osmosis.
Dextrose 5 in 1/2 NS is a hypertonic solution. Hypertonic solutions pull fluid into the vascular space by osmosis. The client needs a hypotonic solution to rehydrate the cells.

Answer to Question 2

A
The nurse needs to assess the patient's readiness and willingness for any procedure before intervening. After determining the patient's readiness for the dressing change, the nurse gathers needed supplies. The nurse establishes goals and outcomes before intervening. Before entering the patient's room, the nurse needs to ask another staff member to help if necessary.