A client is prescribed isotonic IV hydration for their current fluid balance problem. Which property of isotonic fluid replacement is essential for the nurse to understand?

Isotonic fluid helps the client feel less thirsty when they are NPO.

This type of IV hydration replaces blood volume without affecting intracellular fluid.

Isotonic IV hydration can cause cells to burst if given too rapidly.

This type of IV fluid must be given in an intensive care setting with frequent monitoring of the client's vital signs.

Answer and Explanation

The Correct Answer is B

A. Isotonic fluid helps the client feel less thirsty when they are NPO: While isotonic fluids can help maintain hydration status, they do not directly address the sensation of thirst. Isotonic fluids replace extracellular fluid volume and help maintain electrolyte balance but do not affect the sensation of thirst.

B. This type of IV hydration replaces blood volume without affecting intracellular fluid: This is the correct property of isotonic fluid replacement. Isotonic IV fluids have a similar osmolarity to extracellular fluid and thus replace fluid volume without significantly impacting the distribution of water between intra- and extracellular compartments. They are effective for expanding intravascular volume without causing a significant shift of water into or out of cells.

C. Isotonic IV hydration can cause cells to burst if given too rapidly: Isotonic IV fluids have the same osmotic pressure as blood plasma and therefore do not cause cells to burst when administered at appropriate rates. It is hypertonic solutions that can cause cells to shrink or swell due to osmotic imbalances.

D. This type of IV fluid must be given in an intensive care setting with frequent monitoring of the client's vital signs: While isotonic fluids are commonly used in various clinical settings, including intensive care, they do not inherently require administration in an intensive care setting with frequent monitoring of vital signs. Isotonic fluids are often administered in routine medical-surgical settings for various fluid balance problems.

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Correct Answer is C

Explanation

A. always has a religious connotation: This statement is incorrect. While spirituality can be intertwined with religion for many individuals, it does not always have a religious connotation. Spirituality encompasses a broader sense of connection to something greater than oneself, which may or may not be associated with organized religion.

B. is a narrower concept than religion: This statement is incorrect. Spirituality is often considered a broader concept than religion. While religion typically involves organized beliefs, rituals, and practices within a specific faith tradition, spirituality encompasses a wider range of experiences, beliefs, and practices that relate to the search for meaning, purpose, and connection to the transcendent.

C. does not necessarily include religion: This statement is correct. Spirituality can exist independently of religion. While religion often involves spirituality, spirituality can encompass a wide range of beliefs, experiences, and practices that may or may not be connected to organized religion. Individuals can experience spirituality through various means such as nature, relationships, art, meditation, and personal reflection, regardless of religious affiliation.

D. has been created by humans to define ethical conduct: This statement is incorrect. Spirituality is not solely created by humans to define ethical conduct. While ethical principles and values may be part of spiritual beliefs for many individuals, spirituality encompasses broader aspects of human experience, including the search for meaning, connection, and transcendence, which extend beyond ethical conduct.

A. should not be asked about religion or spirituality B. has abandoned religion due to illness C. could be interviewed about personal experiences that guide their life D. does not believe in a higher power

Correct Answer is C

Explanation

A. The client should not be asked about religion or spirituality: This option is not appropriate. Religion and spirituality are important aspects of holistic care and should be addressed based on the client's preferences and needs. Avoiding discussions about religion or spirituality based on the client's statement may overlook opportunities for supportive care.

B. The client has abandoned religion due to illness: There is no evidence to suggest that the client has abandoned religion due to illness based solely on the statement provided. Assuming such a conclusion without further assessment would be inappropriate and potentially inaccurate.

C. The client could be interviewed about personal experiences that guide their life: This is the correct interpretation. The client's statement indicates that they identify as spiritual but do not adhere to a specific religious denomination. This suggests that the client may have personal beliefs, values, or experiences that guide their life and worldview. The nurse can explore these aspects through open-ended questions to gain insight into the client's spiritual needs and preferences.

D. The client does not believe in a higher power: There is no indication from the client's statement that they do not believe in a higher power. The statement simply suggests that the client does not affiliate with a specific religious denomination, but it does not necessarily imply atheism or disbelief in a higher power.

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