A nurse is caring for a client who has suffered acute blood loss and is experiencing hypovolemia due to third-space fluid shifts.
The physician orders Lactated Ringer’s solution for fluid resuscitation.
The nurse knows that this solution contains Sodium 130 mEq/L, Chloride 109 mEq/L, Potassium 4 mEq/L, Calcium 3 mEq/L, and Lactate 28 mEq/L.
Which of the following statements are true regarding Lactated Ringer’s solution? (Select all that apply).
Lactated Ringer’s solution is contraindicated in cases of hyperkalemia.
Lactated Ringer’s solution is contraindicated in cases of hypokalemia.
Lactated Ringer’s solution can be used in cases of lower GI fluid loss.
Lactated Ringer’s solution can be used in cases of upper GI fluid loss.
Lactated Ringer’s solution is contraindicated in cases of lactic acidosis.
Correct Answer : B,C,D
Choice A rationale:
Lactated Ringer's solution is not contraindicated in cases of hyperkalemia.
This solution contains potassium in a relatively low concentration of 4 mEq/L, which is unlikely to significantly impact hyperkalemia.
Choice B rationale:
Lactated Ringer's solution can be contraindicated in cases of hypokalemia.
While it does contain potassium, the concentration is relatively low at 4 mEq/L.
In cases of severe hypokalemia, a more potassium-rich solution might be preferred.
Choice C rationale:
Lactated Ringer's solution can be used in cases of lower GI fluid loss.
It can help replace lost fluids and electrolytes effectively.
Choice D rationale:
Lactated Ringer's solution can be used in cases of upper GI fluid loss.
It helps restore lost fluids and electrolytes.
Choice E rationale:
Lactated Ringer's solution is not contraindicated in cases of lactic acidosis.
In fact, it contains lactate (28 mEq/L), which can be metabolized to bicarbonate and help correct acidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
“I understand that my child’s hydration status will be continuously assessed.”.
Choice A rationale:
While a child's age and weight may play a role in determining fluid replacement, this statement doesn't encompass the entire concept of managing dehydration.
Monitoring hydration status involves assessing clinical signs and symptoms, as well as ongoing evaluation.
Choice B rationale:
Electrolyte solutions and supplements are indeed part of the treatment for dehydration.
However, this statement doesn't reflect the comprehensive understanding of managing a dehydrated child, including continuous assessment of hydration status.
Choice C rationale:
This statement indicates a correct understanding.
Continuous assessment of a child's hydration status is essential in managing dehydration.
It allows healthcare providers to monitor the child's response to treatment and make necessary adjustments.
Choice D rationale:
Collaboration within the healthcare team is important, but this statement doesn't specifically address the understanding of fluid replacement and dehydration management.
The correct response is choice C because it highlights the critical aspect of continuous assessment, which is essential to ensure that the child's hydration status is being monitored effectively during treatment.
Correct Answer is D
Explanation
Choice A rationale:
Ensure appropriate fluid intake based on age and weight.
Rationale: This is an essential piece of advice to prevent dehydration in children.
Proper fluid intake based on age and weight helps maintain hydration.
However, it's not the only advice that should be given.
Choice B rationale:
Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.
Rationale: Monitoring for signs of dehydration is crucial, but it's not the only preventive measure.
Detecting dehydration early is important for timely intervention, but proactive prevention is also necessary.
Choice C rationale:
Encourage consumption of electrolyte solutions during periods of illness.
Rationale: Encouraging the consumption of electrolyte solutions during illness is a valuable piece of advice, especially when children may lose fluids due to vomiting or diarrhea.
However, it's not the only preventive measure.
Choice D rationale:
All these measures are necessary to prevent dehydration in children.
Rationale: This is The correct answer.
Preventing dehydration in children involves a combination of measures, including ensuring appropriate fluid intake, monitoring for signs of dehydration, and encouraging electrolyte solutions during illness.
All these measures work together to keep a child well-hydrated and prevent dehydration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.