Author Question: When planning care, the nurse anticipates that which client will most likely require intravenous ... (Read 19 times)

hbsimmons88 · **on:** Jul 23, 2018

When planning care, the nurse anticipates that which client will most likely require intravenous fluid replacement?

1. A client with a minor burn to the left arm
2. A client diagnosed with congestive heart failure
3. A client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)
4. A client diagnosed with shock

Question 2

When treating fluid imbalances, which is the ultimate goal of care?

1. To diagnose and correct the underlying cause of the disorder
2. To maintain normal vital signs
3. To keep clients normothermic
4. To administer intravenous fluids

anyusername12131 · **Reply #1 on:** Jul 23, 2018

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.