A client is about to receive D10W (10% dextrose in water) as part of their treatment plan.
The nurse explains that this intravenous fluid contains Dextrose 100 g/L and Water 900 mL.
Which of the following statements made by the client indicates a correct understanding of their treatment?
“This IV fluid will provide me with hydration and calories.”.
“This IV fluid will help lower my blood sugar levels.”.
“This IV fluid will provide me with essential electrolytes.”.
“This IV fluid will help increase my blood pressure.”..
The Correct Answer is A
Choice A rationale:
The client's statement, "This IV fluid will provide me with hydration and calories," is correct.
D10W contains 10% dextrose and is used to provide both hydration and calories to the patient.
Choice B rationale:
D10W would not help lower blood sugar levels.
In fact, it would increase blood sugar levels due to the high concentration of dextrose.
Choice C rationale:
D10W does not provide essential electrolytes, so the statement is incorrect.
It's primarily used for calorie supplementation and hydration.
Choice D rationale:
D10W would not help increase blood pressure.
While it can provide hydration, it does not contain medications or components specifically intended to increase blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Lactated Ringer's solution is not contraindicated in cases of hyperkalemia.
This solution contains potassium in a relatively low concentration of 4 mEq/L, which is unlikely to significantly impact hyperkalemia.
Choice B rationale:
Lactated Ringer's solution can be contraindicated in cases of hypokalemia.
While it does contain potassium, the concentration is relatively low at 4 mEq/L.
In cases of severe hypokalemia, a more potassium-rich solution might be preferred.
Choice C rationale:
Lactated Ringer's solution can be used in cases of lower GI fluid loss.
It can help replace lost fluids and electrolytes effectively.
Choice D rationale:
Lactated Ringer's solution can be used in cases of upper GI fluid loss.
It helps restore lost fluids and electrolytes.
Choice E rationale:
Lactated Ringer's solution is not contraindicated in cases of lactic acidosis.
In fact, it contains lactate (28 mEq/L), which can be metabolized to bicarbonate and help correct acidosis.
Correct Answer is C
Explanation
“I understand that my child’s hydration status will be continuously assessed.”.
Choice A rationale:
While a child's age and weight may play a role in determining fluid replacement, this statement doesn't encompass the entire concept of managing dehydration.
Monitoring hydration status involves assessing clinical signs and symptoms, as well as ongoing evaluation.
Choice B rationale:
Electrolyte solutions and supplements are indeed part of the treatment for dehydration.
However, this statement doesn't reflect the comprehensive understanding of managing a dehydrated child, including continuous assessment of hydration status.
Choice C rationale:
This statement indicates a correct understanding.
Continuous assessment of a child's hydration status is essential in managing dehydration.
It allows healthcare providers to monitor the child's response to treatment and make necessary adjustments.
Choice D rationale:
Collaboration within the healthcare team is important, but this statement doesn't specifically address the understanding of fluid replacement and dehydration management.
The correct response is choice C because it highlights the critical aspect of continuous assessment, which is essential to ensure that the child's hydration status is being monitored effectively during treatment.
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