Hypertonic, Isotonic, Hypotonic solutions- Practice Questions

______ causes increased fluid volume in extracellular spaces and is the only solution used when blood products are transfused. LR 0.9% NS D10W 2.5% dextrose

0.9% NaCl or normal saline

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

3% Saline (a hypertonic solution) A patient with cerebral edema would be ordered a HYPERTONIC solution to decrease brain swelling. The solution would remove water from the brain cells back into the vascular to be excreted. 3% Saline is the only hypertonic option.

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

False

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

Hypertonic

_______ solutions cause cell dehydration and help increase fluid in the extracellular space. Hypotonic Hypertonic Isotonic Osmosis

Hypertonic

A patient that is experiencing a hyperosmolar hyperglycemic state would receive what type of IV solution? Hypotonic isotonic hypertonic colloids

Hypotonic

________ fluids remove water from the extracellular space into the intracellular space. Hypotonic Hypertonic Isotonic Colloids

Hypotonic. When a cell is exposed to such hypotonic conditions, there is net water movement into the cell. Cells without walls will swell and may burst (lyse) if excess water is not removed from the cell.

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

Isotonic

A patient that has suffered severe burns would receive what IV solution? LR 0.9% NS D5W 0.45% NaCl

Lactated Ringer's

Which of the following is not a hypertonic fluid? 3% Saline 10% Dextrose in Water (D10W) Lactated Ringer's

Lactated Ringer's

______ fluids draw water out of cells. Hypotonic isotonic hypertonic colloids

hypertonic fluids. Administer slowly.

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

0.9% Normal Saline

A patient suffering from cerebral edema will be given IV solution of? 0.45% NaCl 0.9% NS LR 3% NaCl

3% NaCl

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

Hypotonicity; They have lower concentrations of solute. This can cause fluids to shift out of the vascular spaces and into the interstitial spaces and into the cells.

A patient is experiencing hypotension, confusion and dizziness after receiving a hypotonic fluid. What is the worsening underlying condition? hypervolemia hypovolemia anaphylactoid reaction CNS depression

hypovolemia

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

Patient with increased intracranial pressure

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

Pulmonary Edema

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

True D5W is classified as a ISOTONIC fluid BUT after administration the body metabolizes the dextrose and the fluid left over is a hypotonic solution.