A client is about to receive D10W (10% dextrose in water) as part of their treatment plan.
The nurse explains that this intravenous fluid contains Dextrose 100 g/L and Water 900 mL.
Which of the following statements made by the client indicates a correct understanding of their treatment?

Normal saline (0.9% NaCl).

Choice A rationale:

Normal saline (0.9% NaCl) is the most appropriate choice for a client with burns and hypovolemia.

This isotonic solution helps to restore intravascular volume and replace lost fluids.

It contains sodium chloride in a concentration similar to that of the body's extracellular fluid, making it effective for rehydration and replenishing electrolytes in hypovolemic patients.

Choice B rationale:

Half normal saline (0.45% NaCl) is a hypotonic solution with a lower sodium concentration than the body's extracellular fluid.

It is not the best choice for treating hypovolemia and burns because it may not effectively expand intravascular volume and may cause cellular swelling.

Choice C rationale:

Lactated Ringer's is an isotonic solution, but it contains additional electrolytes and lactate.

While it can be suitable for some fluid replacement needs, normal saline is preferred for burn patients because it has a simpler composition and is effective for volume resuscitation in cases of hypovolemia.

Choice D rationale:

D5W (5% dextrose in water) is a solution that primarily provides dextrose for energy, not suitable for hypovolemia and burns.

It can cause dilutional hyponatremia if used as the primary fluid in hypovolemic patients.

Choice A rationale:

Assessing the degree of dehydration based on clinical signs and symptoms is a fundamental step in managing a dehydrated child.

This assessment guides the choice of appropriate treatment and fluid replacement.

Choice B rationale:

Calculating the fluid deficit based on the degree of dehydration is crucial in determining the amount of fluid that needs to be replaced accurately.

This calculation helps prevent under or overhydration.

Choice D rationale:

Monitoring the child's response to treatment and adjusting the plan accordingly is essential.

Dehydration management is an ongoing process, and adjustments may be necessary based on how the child is progressing.

Choice E rationale:

Communication with physicians, nutritionists, and other healthcare professionals is vital for comprehensive care.

Dehydration management often involves a multidisciplinary approach to address the child's overall health and nutritional needs.

Selecting all of these options (A, B, D, and E) ensures a comprehensive approach to managing dehydration in a child.

It involves assessment, calculation, monitoring, and collaboration with healthcare professionals for the best outcome.