What type of fluid would you anticipate using with a patient with dehydration?

Colloid solution

Hypotonic solution

Isotonic solution

Hypertonic solution

Answer and Explanation

The Correct Answer is C

A. Colloid solution – Colloid solutions (e.g., albumin) are used to expand intravascular volume in cases like hypovolemic shock, not typically for general dehydration.
B. Hypotonic solution – Hypotonic solutions (e.g., 0.45% NaCl) may be used after initial rehydration to shift fluid into cells, but they are not first-line for treating extracellular dehydration.
C. Isotonic solution – Isotonic fluids (e.g., 0.9% normal saline or lactated Ringer’s) are the first choice for treating dehydration, especially when there is fluid volume deficit in the extracellular space. They help restore circulating volume without causing fluid shifts between compartments.
D. Hypertonic solution – Hypertonic solutions draw fluid out of cells and are typically used in cases of hyponatremia or cerebral edema, not routine dehydration.

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Correct Answer is C

Explanation

A. "I will take morphine during sickle cell crisis." – Morphine is commonly used for managing severe pain during a sickle cell crisis.
B. "I will take propranolol to manage high blood pressure." – Propranolol is a beta-blocker used to treat hypertension, along with other conditions like anxiety and arrhythmias.
C. "I will take aspirin to reduce pain from my peptic ulcer." – Needs further teaching. Aspirin is an NSAID that can irritate the gastric mucosa, increase acid secretion, and worsen or cause peptic ulcers. It should not be taken by clients with a history of peptic ulcer disease unless specifically directed by a provider.
D. "I will take ibuprofen for arthritis." – Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is commonly used to reduce pain and inflammation in arthritis. However, long-term use should be monitored due to potential GI and renal effects.

A. The client has a nonslip bath mat in his shower. B. The client wears fitted slippers. C. The client takes alprazolam. D. The client uses a raised toilet seat.

Correct Answer is C

Explanation

A. The client has a nonslip bath mat in his shower. – This is a safety measure that helps prevent falls, not contribute to them.
B. The client wears fitted slippers. – Well-fitted slippers provide foot stability and traction, helping reduce the risk of falls.
C. The client takes alprazolam. – Alprazolam is a benzodiazepine, which can cause drowsiness, dizziness, and impaired coordination, especially in older adults. These side effects significantly increase fall risk.
D. The client uses a raised toilet seat. – A raised toilet seat is a fall-prevention aid, often recommended for clients with limited mobility.

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What type of fluid would you anticipate using with a patient with dehydration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?

Correct Answer is C

Explanation

A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

Correct Answer is C

Explanation

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?