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 D

Explanation

A. Ganciclovir: Ganciclovir is an antiviral medication used primarily to treat viral infections such as cytomegalovirus (CMV), not bacterial infections like UTIs.

B. Amphotericin B: Amphotericin B is an antifungal agent used to treat serious fungal infections, not bacterial UTIs.

C. Azithromycin: Azithromycin is an antibiotic that is effective against a broad range of bacterial infections but is not commonly used for treating recurrent UTIs.

D. Nitrofurantoin: Nitrofurantoin is an antibiotic commonly used to prevent and treat recurrent lower urinary tract infections due to its efficacy in targeting the bacteria that typically cause UTIs.

A. Nitrates B. Sulfa-based medications C. Mostly cloudy D. Antilipemic agents E. Proton pump inhibitors

Correct Answer is B

Explanation

A. Nitrates: Nitrates are primarily used to manage angina or heart conditions and are unrelated to acetazolamide or its potential for allergic reactions.

B. Sulfa-based medications: Acetazolamide is a carbonic anhydrase inhibitor that contains sulfonamide groups. Clients with a sulfa allergy may experience a cross-sensitivity reaction, so it's important to confirm any history of sulfa allergies before administration.

C. Mostly cloudy: This option does not relate to any medication classification and is incorrect.

D. Antilipemic agents: Antilipemics are used to lower cholesterol and are not related to acetazolamide or its potential for allergic reactions.

E. Proton pump inhibitors: Proton pump inhibitors are used to reduce stomach acid and do not have a known cross-sensitivity with acetazolamide.

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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 has recurrent lower urinary tract infections (UTIs). Which of the following medications should the nurse expect to administer?

Correct Answer is D

Explanation

A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have an allergy to which of the following medication classifications?

Correct Answer is B

Explanation

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