根据网考网考试中心的统计分析,以下试题在2019/4/29日护士资格证考试习题练习中,答错率较高,为:94%
【单选题】The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client
A、Distilled water.
B、Dextrose 5% in waterD5W) only.
C、DSW with 40 mEq of potassium chloride.
D、Dextrose 10% in salin
网考网参考答案:B,答错率:94%
网考网试题解析:
Increasing fluid volume and urine output is the main consideration when fluid replacement therapy is indicated. Therefore, DSW and a hypotonic solution would be indicated. Distilled water is never given for IV replacement therapy, even though it’s a hypotonic solution. Potassium chloride is added when adequate output is established, depending on the extent of hypokalemia determined by laboratory electrolyte studies. Dextrose 10% in saline is a hypertonic solution that increases the degree of osmotic pressure and would increase intracellular dehydration; therefore, it’s contraindicated.
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