A nurse is caring for a client who has a prescription for a hypotonic IV fluid. Which of the following solutions should the nurse expect to administer?

Lactated Ringer's

0.9% sodium chloride

3% sodium chloride

0.45% sodium chloride

Answer and Explanation

The Correct Answer is D

A. Lactated Ringer's: This solution is isotonic and is typically used for fluid resuscitation, not for hypotonic treatment.

B. 0.9% sodium chloride: This is isotonic saline and does not qualify as a hypotonic solution.

C. 3% sodium chloride: This solution is hypertonic and used to treat severe hyponatremia, not hypotonic hydration.

D. 0.45% sodium chloride: This is the correct choice as it is a hypotonic solution that can help to hydrate cells by providing free water.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

A. Blurred vision is a common side effect of anticholinergic medications due to their effect on the eye muscles and pupil dilation.

B. Polyuria is not typically associated with anticholinergic medications; these medications may actually lead to urinary retention.

C. A productive cough is not an expected adverse effect of anticholinergic medications; instead, they may cause dry mucous membranes and a dry cough.

D. Tachycardia can occur as anticholinergic medications block the effects of acetylcholine on the heart, leading to increased heart rate.

E. Constipation is a well-known side effect of anticholinergic medications because they reduce gastrointestinal motility.

A. Apply a warming blanket prior to administration. B. Infuse the medication over 1 hr. C. Administer diphenhydramine prior to administration. D. Monitor vital signs once per hour following administration.

Correct Answer is C

Explanation

A. Applying a warming blanket is not appropriate and may worsen the client’s reaction to the infusion. It does not help prevent infusion-related reactions.

B. Infusing amphotericin B deoxycholate over 1 hour is too fast; the medication should be infused over 2-6 hours to reduce the risk of adverse effects.

C. Administering diphenhydramine prior to administration is recommended to help prevent infusion-related reactions, such as fever and chills, which the client experienced during previous infusions.

D. Monitoring vital signs once per hour is inadequate; vital signs should be monitored more frequently during and immediately after the infusion to promptly identify and manage any adverse reactions.

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A nurse is caring for a client who has a prescription for a hypotonic IV fluid. Which of the following solutions should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

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Correct Answer is C

Explanation

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