A nurse is evaluating the 24-hr 1&O records of several clients. Which of the following client findings indicates an acceptable fluid balance?

Intake 2,400 mL, output 2.500 mL

Intake 1,200 mL, output 700 mL

Intake 800 mL output 2,100 mL

Intake 2.500 mL output 500 mL

Answer and Explanation

The Correct Answer is A

A. This indicates a slight positive fluid balance (+100 mL), meaning the client has taken in slightly more fluids than they have excreted. This could be acceptable depending on the client's clinical condition and fluid status.

B. This indicates a negative fluid balance (-500 mL), suggesting the client has excreted more fluids than they have taken in. In some situations, such as in patients with certain conditions like edema, a negative balance might be intended.

C. This indicates a significant negative fluid balance (-1,300 mL), where the client has excreted much more fluid than they have taken in. This could indicate dehydration or fluid loss that needs to be addressed promptly.

D. This indicates a significant positive fluid balance (+2,000 mL), where the client has taken in much more fluid than they have excreted. This could indicate fluid retention, which might be acceptable in certain clinical conditions but could be problematic in others, such as in patients with congestive heart failure.

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Correct Answer is A

Explanation

A. 0.9% sodium chloride (normal saline) is isotonic, meaning it has the same concentration of solutes as blood plasma. It is used to expand intravascular volume and replace fluids and electrolytes.

B. "Hypnotic" refers to medications that induce sleep and has no relevance to IV solutions. This term does not apply to IV solutions.

C. A hypotonic solution has a lower concentration of solutes compared to normal body fluids. Examples include 0.45% sodium chloride (half-normal saline) or 5% dextrose in water (D5W). 0.9% sodium chloride (normal saline) is not hypotonic; rather, it is isotonic.

D. A hypertonic solution has a higher concentration of solutes compared to normal body fluids. Examples include 3% sodium chloride or 5% dextrose in 0.9% sodium chloride. 0.9% sodium chloride (normal saline) is not hypertonic; rather, it is isotonic.

A. 5 tsp B. 2.5 tsp C. 1 tsp D. 0.5 tsp

Correct Answer is C

Explanation

C. The conversion of milliliters to teaspoons is a common calculation in medication administration. Since 5 mL is equivalent to 1.01442068 teaspoons, the closest standard measurement used in medication dosing is 1 teaspoon.

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A nurse is evaluating the 24-hr 1&O records of several clients. Which of the following client findings indicates an acceptable fluid balance?

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