Answer to Question 1
Correct Answer: 4
Rationale 1: A client diagnosed with a minor burn might not require intravenous fluid replacement. This is not the most likely client to receive fluid replacement.
Rationale 2: A client diagnosed with heart failure is likely in a state of fluid volume excess.
Rationale 3: A client diagnosed with SIADH is likely in a state of fluid volume excess.
Rationale 4: A client in shock will require intravenous fluid replacement secondary to hypotension and fluid shifting.
Global Rationale: A client in shock will require intravenous fluid replacement secondary to hypotension and fluid shifting. A client diagnosed with a minor burn might not require intravenous fluid replacement. This is not the most likely client to receive fluid replacement. A client diagnosed with heart failure is likely in a state of fluid volume excess. A client diagnosed with SIADH is likely in a state of fluid volume excess.
Answer to Question 2
Correct Answer: 1
Rationale 1: When treating fluid imbalances, the ultimate goal of the health care team is to diagnose and correct the underlying cause of the disorder.
Rationale 2: While important, maintaining normal vital signs is not the goal of the health care team while treating fluid imbalances.
Rationale 3: While important, maintaining normothermia is not the goal of the health care team while treating fluid imbalances.
Rationale 4: Administration of intravenous fluids is an implementation, not a goal.
Global Rationale: When treating fluid imbalances, the ultimate goal of the health care team is to diagnose and correct the underlying cause of the disorder. While important, maintaining normal vital signs and normothermia are not the goals of the health care team while treating fluid imbalances. Administration of intravenous fluids is an implementation, not a goal.