Hypertonic/Hypotonic/Isotonic Solutions

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 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 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.)

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

D5W

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

False (HYPOTONIC fluids cause shifting of water from the extracellular space to the intracellular space.)

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

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

Hypotonic

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

Hypotonicity

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

Isotonic

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

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 adminstration the body metabolizes the dextrose and the fluid left over is a hypotonic solution.)