A nurse is caring for a client who has hypernatremia and requires IV fluid therapy. Which solution should the nurse prepare to infuse for this client?

Isotonic solution

Total Parenteral Nutrition (TPN)

Hypertonic solution

Hypotonic solution

Answer and Explanation

The Correct Answer is D

A) Isotonic solution: Isotonic solutions, such as 0.9% sodium chloride, maintain the current sodium levels and fluid balance but do not correct hypernatremia. They are not suitable for lowering elevated sodium levels.

B) Total Parenteral Nutrition (TPN): TPN is used for providing comprehensive nutritional support and does not address electrolyte imbalances such as hypernatremia. It is not used to manage sodium levels directly.

C) Hypertonic solution: Hypertonic solutions, such as 3% sodium chloride, increase sodium levels and are used for treating hyponatremia or specific conditions requiring higher sodium concentrations. They would worsen hypernatremia.

D) Hypotonic solution: Hypotonic solutions, like 0.45% sodium chloride (half-normal saline) or Dextrose 5% in water (D5W), are appropriate for treating hypernatremia. They help dilute the sodium concentration in the blood and aid in correcting the elevated sodium levels

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Correct Answer is C

Explanation

A) The first 2 min: While it is essential to monitor the client closely during the first few minutes of a PRBC infusion, a two-minute observation period is insufficient to detect most acute transfusion reactions. Many reactions, such as fever, chills, and allergic responses, can take longer to manifest.

B) The final 15 min: Monitoring during the final 15 minutes is important to ensure the infusion is completed without complications. However, the most critical time for monitoring is at the beginning of the infusion, as acute reactions are more likely to occur early on.

C) The first 15 min: The first 15 minutes of a PRBC transfusion are crucial because most acute transfusion reactions, such as allergic reactions, febrile non-hemolytic reactions, and hemolytic reactions, occur within this time frame. The nurse should remain at the bedside to promptly identify and manage any adverse reactions, ensuring the client's safety.

D) The final 2 min: Monitoring during the final two minutes of the infusion is also important, but it is not the critical time frame for detecting most transfusion reactions. Observing the client closely during the initial phase of the transfusion is essential to address any immediate complications.

A. Ribs B. Apple C. Ground beef D. Corn on the cob

Correct Answer is C

Explanation

A) Ribs: Ribs are typically not suitable for a mechanical soft diet because they are tough and require chewing. Mechanical soft diets are designed for individuals who have difficulty chewing or swallowing solid foods.

B) Apple: Apples are generally too hard and crunchy for a mechanical soft diet, which is intended to include softer, easier-to-chew foods.

C) Ground beef: Ground beef is appropriate for a mechanical soft diet because it is easier to chew and swallow compared to whole cuts of meat. It is typically tender and does not require extensive chewing.

D) Corn on the cob: Corn on the cob is not suitable for a mechanical soft diet due to its tough and fibrous texture, which can be difficult to chew and swallow for individuals on this type of diet.

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﻿A nurse is caring for a client who has hypernatremia and requires IV fluid therapy. Which solution should the nurse prepare to infuse for this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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