A client is prescribed isotonic IV hydration for their current fluid balance problem. Which property of isotonic fluid replacement is essential for the nurse to understand?

Isotonic fluid helps the client feel less thirsty when they are NPO.

This type of IV hydration replaces blood volume without affecting intracellular fluid.

Isotonic IV hydration can cause cells to burst if given too rapidly.

This type of IV fluid must be given in an intensive care setting with frequent monitoring of the client's vital signs.

Answer and Explanation

The Correct Answer is B

A. Isotonic fluid helps the client feel less thirsty when they are NPO: While isotonic fluids can help maintain hydration status, they do not directly address the sensation of thirst. Isotonic fluids replace extracellular fluid volume and help maintain electrolyte balance but do not affect the sensation of thirst.

B. This type of IV hydration replaces blood volume without affecting intracellular fluid: This is the correct property of isotonic fluid replacement. Isotonic IV fluids have a similar osmolarity to extracellular fluid and thus replace fluid volume without significantly impacting the distribution of water between intra- and extracellular compartments. They are effective for expanding intravascular volume without causing a significant shift of water into or out of cells.

C. Isotonic IV hydration can cause cells to burst if given too rapidly: Isotonic IV fluids have the same osmotic pressure as blood plasma and therefore do not cause cells to burst when administered at appropriate rates. It is hypertonic solutions that can cause cells to shrink or swell due to osmotic imbalances.

D. This type of IV fluid must be given in an intensive care setting with frequent monitoring of the client's vital signs: While isotonic fluids are commonly used in various clinical settings, including intensive care, they do not inherently require administration in an intensive care setting with frequent monitoring of vital signs. Isotonic fluids are often administered in routine medical-surgical settings for various fluid balance problems.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. Reading back the calcium level result to the lab technician: Reading back results to the lab technician is a good practice to ensure accurate communication. The nurse verifies that they have received the correct information and confirms the accuracy of the result.

B. Document the time the call was received & the lab technician's name and date of birth. This was not selected because while documenting the time of the call and the lab technician's information may be useful for record-keeping purposes, it is not directly related to the immediate management of the client's low calcium level. Therefore, it is not essential to the immediate actions required in response to the lab result.

C. Reporting the elevated calcium level to the client's physician: An abnormally low calcium level (hypocalcemia) of 6.3 mg/dL requires prompt notification to the client's physician for further evaluation and intervention.

D. Confirming the client's full name, date of birth, & medical record number with the lab technician: Verifying the client's identity and medical record number ensures that the lab results are correctly matched to the right patient, minimizing the risk of errors in patient care.

E. Documenting the low calcium level in the client's electronic medical record: Documenting the calcium level in the client's electronic medical record ensures that the result is recorded for future reference and continuity of care. Accurate documentation is essential for tracking the client's health status and treatment outcomes.

A. cloudy urine B. protein in the urine C. Difficult urination D. blood in urine

Correct Answer is D

Explanation

A. cloudy urine: Cloudy urine typically refers to urine that appears turbid or murky due to the presence of various substances such as protein, bacteria, or mucus. While cloudy urine can sometimes indicate a urinary tract infection or other medical conditions, it is not specific to hematuria, which refers to the presence of blood in the urine.

B. protein in the urine: Protein in the urine, also known as proteinuria, is a separate finding from hematuria. Proteinuria occurs when there is an abnormal amount of protein in the urine, which can indicate kidney damage or other medical conditions. While proteinuria can coexist with hematuria in some cases, they are distinct assessment findings.

C. Difficult urination: Difficult urination, also known as dysuria, refers to pain, discomfort, or difficulty during urination. Dysuria can be caused by various factors such as urinary tract infections, bladder inflammation, or urethral disorders. While dysuria can sometimes accompany hematuria, they are different assessment findings with distinct underlying causes.

D. blood in urine: This statement is correct. Hematuria is the medical term for the presence of red blood cells in the urine, resulting in urine that appears pink, red, or brownish. Hematuria can be caused by a wide range of conditions, including urinary tract infections, kidney stones, bladder cancer, or kidney disease. It is an essential finding to report during an admission assessment as it may indicate underlying medical issues that require further evaluation and treatment.

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A client is prescribed isotonic IV hydration for their current fluid balance problem. Which property of isotonic fluid replacement is essential for the nurse to understand?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A lab technician calls to tell the nurse that their client's calcium level is 6.3 mg/dL. How will the nurse proceed with this information? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D"]

Explanation

The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?

Correct Answer is D

Explanation

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