A client is admitted to the hospital with hypoalbuminemia and shock.
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
Albumin (5% or 25%).
Dextrans (Dextran-40 or Dextran-70).
Gelatin (Gelofusine or Haemaccel).
Plasma protein fraction (Plasmanate or Plasmasteril).
The Correct Answer is A
Choice A rationale:
Albumin (5% or 25%) Albumin is the most appropriate IV fluid for a client with hypoalbuminemia and shock.
Albumin is a colloid solution that helps to increase oncotic pressure, which can be decreased in conditions like hypoalbuminemia.
This increased oncotic pressure can help draw fluids back into the vascular space, improving intravascular volume and blood pressure.
Therefore, it is a suitable choice for a patient with shock.
The two concentrations mentioned, 5% and 25%, refer to the percentage of albumin in the solution, and the choice between them depends on the severity of the patient's condition and the desired effect.
The 5% solution is often used for volume expansion and to improve hemodynamics, while the 25% solution is used for rapid volume expansion.
Choice B rationale:
Dextrans (Dextran-40 or Dextran-70) Dextrans are another type of colloid solution, but they are not the best choice for this specific situation.
Dextrans are often used as volume expanders but are more commonly employed in conditions where there is no issue with albumin levels.
In this case, the primary concern is hypoalbuminemia, and using albumin-based solutions would be more appropriate.
Choice C rationale:
Gelatin (Gelofusine or Haemaccel) Gelatin-based solutions are also colloids and can be used for volume expansion.
However, they are not the best choice for a patient with hypoalbuminemia because they do not address the low albumin levels.
Albumin solutions are preferred in such cases to help restore oncotic pressure and improve intravascular volume.
Choice D rationale:
Plasma protein fraction (Plasmanate or Plasmasteril) Plasma protein fraction solutions, also known as human albumin, are similar to albumin solutions.
However, in this context, albumin solutions are more commonly used.
Plasma protein fraction solutions may be indicated in specific situations, but the primary choice for a patient with hypoalbuminemia and shock would be albumin-based solutions, as they are specifically designed to address albumin deficiencies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A rationale:
Ensure appropriate fluid intake based on age and weight.
Rationale: This is an essential piece of advice to prevent dehydration in children.
Proper fluid intake based on age and weight helps maintain hydration.
However, it's not the only advice that should be given.
Choice B rationale:
Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.
Rationale: Monitoring for signs of dehydration is crucial, but it's not the only preventive measure.
Detecting dehydration early is important for timely intervention, but proactive prevention is also necessary.
Choice C rationale:
Encourage consumption of electrolyte solutions during periods of illness.
Rationale: Encouraging the consumption of electrolyte solutions during illness is a valuable piece of advice, especially when children may lose fluids due to vomiting or diarrhea.
However, it's not the only preventive measure.
Choice D rationale:
All these measures are necessary to prevent dehydration in children.
Rationale: This is The correct answer.
Preventing dehydration in children involves a combination of measures, including ensuring appropriate fluid intake, monitoring for signs of dehydration, and encouraging electrolyte solutions during illness.
All these measures work together to keep a child well-hydrated and prevent dehydration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.