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,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.

A. Respiratory rate 24/min B. Oral temperature 38.9° C (102° F) C. Blood pressure 118/78 mm Hg D. Apical pulse 50/min

Correct Answer is D

Explanation

A. A respiratory rate of 24/min is elevated and may suggest respiratory distress, but it is not a specific adverse effect of propranolol.

B. An oral temperature of 38.9° C (102° F) indicates fever, which is not a typical adverse effect of propranolol.

C. A blood pressure of 118/78 mm Hg is within normal limits and does not indicate an adverse effect of propranolol, which is often used to manage hypertension.

D. An apical pulse of 50/min indicates bradycardia, a known adverse effect of propranolol, which can occur due to its action on the heart rate.

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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 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

A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

Correct Answer is D

Explanation

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