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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Correct Answer is C

Explanation

A. Bradycardia: Albuterol can cause an increase in heart rate (tachycardia) as a common side effect, not a decrease in heart rate, so bradycardia would not be expected.

B. Wheezing: Albuterol is used to relieve wheezing by causing bronchodilation, so continued wheezing after administration would suggest ineffective treatment rather than being an expected finding.

C. Tremors: Tremors are a common side effect of albuterol due to its stimulation of beta-2 receptors in the muscles. This is often seen after nebulizer treatments.

D. Sleepiness: Albuterol generally causes stimulation of the central nervous system, leading to restlessness or nervousness, not sleepiness.

A. Have the client take one puff of albuterol B. Have the client rest for 1 min C. Have the client take the second puff of albuterol D. Have the client rest for 5 min E. EHave the client take one puff of fluticasone

Correct Answer is A,B,C,D,E

Explanation

Administering albuterol first is crucial because it is a bronchodilator that will help open the airways before administering the anti-inflammatory fluticasone.
The client should rest for 1 minute between puffs of albuterol to allow for the medication to take effect.
After taking the second puff of albuterol, a longer rest of 5 minutes allows the client to experience the full effects of the bronchodilator.
Finally, administering fluticasone afterward will help reduce inflammation in the airways, maximizing the benefit of both medications.

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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 caring for a client who received two doses of albuterol via nebulizer. Which of the following findings should the nurse expect during an assessment?

Correct Answer is C

Explanation

A nurse is reviewing the medication administration record (MAR) of a client who requires fluticasone MDI one puff and albuterol MDI two puffs. Which of the following actions should the nurse plan to take? Place the following steps in the correct order.

Correct Answer is A,B,C,D,E

Explanation

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