The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

Isotonic

Hypotonic

Hypertonic

Colloid

Answer and Explanation

The Correct Answer is A

A. Isotonic: Isotonic fluids have a similar osmolarity to extracellular fluid and are often used for volume replacement in clients with fluid volume deficits, such as those with gastroenteritis. Isotonic fluids help to expand intravascular volume without causing significant shifts in fluid and electrolyte balance.

B. Hypotonic: Hypotonic fluids have a lower osmolarity than extracellular fluid and are typically used to rehydrate cells in cases of cellular dehydration. While hypotonic fluids can replenish intracellular volume, they are not typically used as initial replacement fluids for clients with fluid volume deficits, especially if there is risk of exacerbating extracellular fluid deficit.

C. Hypertonic: Hypertonic fluids have a higher osmolarity than extracellular fluid and are often used to expand intravascular volume in specific situations, such as severe hyponatremia or hypovolemic shock. However, they are not typically used as initial replacement fluids for clients with gastroenteritis and fluid volume deficits.

D. Colloid: Colloids are solutions containing large molecules, such as albumin or starches, which remain within the vascular space and exert oncotic pressure to draw fluid into the intravascular compartment. While colloids may be used in some cases of severe volume deficit, they are not typically used as initial replacement fluids for clients with gastroenteritis.

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Correct Answer is D

Explanation

A. Justice: Justice refers to fairness and equitable distribution of resources and treatment. While it is important in healthcare decision-making, it is not directly applicable in this scenario, where the focus is on respecting the client's autonomy in decision-making.

B. Nonmaleficence: Nonmaleficence is the principle of doing no harm. While it is essential for healthcare professionals to avoid causing harm to clients, it does not directly address the client's right to make autonomous decisions about their care.

C. Beneficence: Beneficence refers to the duty to do good and act in the best interest of the client. While it is important for nurses to promote the well-being of their clients, in this scenario, the client's autonomous decision not to undergo surgery or chemotherapy takes precedence over the nurse's desire to promote beneficence.

D. Respect for autonomy: This is the correct answer. Respect for autonomy is the ethical principle that recognizes individuals' right to make their own decisions and choices regarding their healthcare, based on their values, beliefs, and preferences. In this scenario, the nurse respects the client's autonomous decision not to pursue surgery or chemotherapy, even though it may conflict with the nurse's personal beliefs about preserving life.

A. that both partners are in good health. B. being of the same sociocultural background. C. open communication. D. awareness of the partner's needs.

Correct Answer is C

Explanation

A. That both partners are in good health: While good health can contribute to a satisfying sexual relationship, it is not the sole determinant. Health status alone does not guarantee a mutually-satisfying sexual relationship.

B. Being of the same sociocultural background: While sharing a sociocultural background may facilitate understanding and communication in some cases, it is not a universal requirement for a healthy sexual relationship. Partners from diverse backgrounds can have fulfilling relationships with effective communication and mutual respect.

C. Open communication: Open communication is essential for building trust, understanding preferences, expressing needs and desires, and resolving conflicts in a sexual relationship. It allows partners to discuss their feelings, concerns, and expectations openly, leading to greater intimacy and satisfaction.

D. Awareness of the partner's needs: Being aware of the partner's needs is important, but without open communication, it can be challenging to understand those needs fully. Open communication facilitates the expression and acknowledgment of needs, making it easier for partners to address them effectively.

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The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

When working with clients of any age, the nurse keeps in mind that the key to mutually-satisfying, healthy sexual relationships between partners is most often:

Correct Answer is C

Explanation

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