Author Question: Which assessment finding should cause a nurse to question administering a sodium-containing isotonic ... (Read 16 times)

fahad · **on:** Jul 23, 2018

Which assessment finding should cause a nurse to question administering a sodium-containing isotonic intravenous fluid?

a. Blood pressure 102/58
b. Dry mucous membranes
c. Poor skin turgor
d. Pitting edema

Question 2

A patient is to receive 1500 mL of 0.9 sodium chloride intravenously at a rate of 125 mL/hr. The nurse is using microdrip gravity drip tubing. What is the minute flow rate (drops per minute)?

a. 12 gtt/min
b. 24 gtt/min
c. 125 gtt/min
d. 150 gtt/min

LP · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Pitting edema indicates that the patient may be retaining excess extracellular fluid, and the nurse should question the type of solution meant to rehydrate the patient. All other options are con-sistent with ECV deficit, and the patient would benefit from a sodium-containing isotonic solu-tion that expands extracellular volume.

Answer to Question 2

ANS: C
Microdrip tubing delivers 60 gtt/mL. Calculation for a rate of 125 mL/hr using microdrip tubing: (125 mL/1 hr)(60 gtt/1 mL)(1 hr/60 min) = 125 gtt/min.