Isotonic, Hypotonic, and Hypertonic IV Solutions

A patient is being admitted with dehydration due to nausea and vomiting. Which fluid would you expect the patient to be started on? a. 0.9% Normal Saline b. 0.33% saline c. 0.225% saline d. 5% Dextrose in 0.9% Saline

A

A patient with cerebral edema would most likely be order what type of solution? A. 3% Saline B. 0.9% Normal Saline C. Lactated Ringer's D. 0.225% Normal Saline

A

When administering a hypertonic solution the nurse should closely watch for? A. Signs of dehydration B. Pulmonary Edema C. Fluid volume deficient D. Increased Lactate level

B

Which of the following conditions can lead to cell lyses if not properly monitored? A. Isotonicity B. Hypotonicity C. Hypertonicity D. None of the options are correct

B

Which of the following is not a hypertonic fluid? A. 3% Saline B. D5W C. 10% Dextrose in Water (D10W) D. 5% Dextrose in Lactated Ringer's

B

Which of the following patients would not be a candidate for a hypotonic solution? A. Patient with Diabetic Ketoacidosis B. Patient with increased intracranial pressure C. Patient experiencing Hyperosmolar Hyperglycemia D. All of the options are correct

B

The doctor orders an isotonic fluid for a patient. Which of the following is not an isotonic fluid? A. 0.9% Normal Saline B. Lactated Ringers C. 0.45% Saline D. 5% Dextrose in 0.225% saline

C

What type of fluid would a patient with severe hyponatremia most likely be started on? A. Hypotonic B. Isotonic C. Hypertonic D. Colloid

C

When the cell presents with the same concentration on the inside and outside with no shifting of fluids this is called? A. Hypotonic B. Hypertonic C. Osmosis D. Isotonic

D

True or False: Isotonic fluids cause shifting of water from the extracellular space to the intracellular space.

False

_______ solutions cause cell dehydration and help increase fluid in the extracellular space.

Hypertonic

________ fluids remove water from the extracellular space into the intracellular space.

Hypotonic

True or False: D5W solutions are sometimes considered a hypotonic solution as well as an isotonic solution because after the body absorbs the dextrose the solution acts as a hypotonic solution.

True