Based on the diagnosis of Dehydration, select which IV solution will be ordered to treat waiting this patient.

5% dextrose in Lactated ringers

0.45% sodium chloride

0.9 Sodium chloride

3% Normal Saline

Answer and Explanation

The Correct Answer is C

0.9% Sodium chloride is a balanced isotonic solution that closely resembles the electrolyte composition of the extracellular fluid. It is commonly used to treat dehydration because it helps restore fluid volume and electrolyte balance in the body.

5% dextrose in Lactated Ringers: This solution is typically used for fluid and electrolyte replacement in patients who have significant fluid losses or imbalances, but it may not be the best choice for dehydration alone.

0.45% sodium chloride: This solution, also known as half-normal saline, has a lower concentration of sodium chloride and is often used for patients who require hypotonic fluids. It may not provide enough electrolyte replacement for a dehydrated patient. 3% Normal Saline: This solution has a higher concentration of sodium chloride and is typically used for specific indications, such as severe hyponatremia or in critical care settings. It is not the first-line choice for treating dehydration.

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Correct Answer is C

Explanation

Loop diuretics, such as furosemide, are known to promote diuresis (increased urine output) and can cause electrolyte imbalances, including low potassium (hypokalemia). The patient's statement about eating a diet rich in potassium-containing foods like potatoes, bananas, avocadoes, strawberries, and spinach is incorrect in this context. These foods are indeed good sources of potassium, but when taking loop diuretics, it is necessary to monitor and potentially restrict potassium intake to prevent excessive potassium levels.

"I will weigh myself daily and report to my physician if I gain more than 3 lbs in 1 day." This statement reflects the patient's understanding of the need to monitor their weight daily as a means of assessing fluid balance. Rapid weight gain may indicate fluid retention, which should be reported to the physician.

"This medication can cause dehydration, so I will stay hydrated by consuming at least 2 L or more of fluid per day." This statement demonstrates awareness of the potential for dehydration when taking loop diuretics and the importance of staying adequately hydrated by consuming an appropriate amount of fluids.

"I will change position slowly because I can become dizzy easily while taking this medication." This statement reflects the understanding that loop diuretics can cause orthostatic hypotension,

leading to dizziness upon sudden changes in position. Taking precautions and changing position slowly can help prevent falls and related injuries.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Aminoglycosides work by binding to the 30S subunit; this binding interferes with the bacterial ribosome's ability to synthesize proteins. By inhibiting protein synthesis, aminoglycosides disrupt bacterial growth and can lead to bacterial cell death.

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Based on the diagnosis of Dehydration, select which IV solution will be ordered to treat waiting this patient.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You're providing discharge instructions to a patient who will be taking a loop diuretic at home. Which statement by the patient demonstrates they did NOT understand the teaching material and requires that you reinforce some of the teaching points?

Correct Answer is C

Explanation

Select Dropdowns: Aminoglycosides work by binding to the dropdown which prevents dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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