Guide DRAFT Latest 2026 Questions and Correct
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Isotonic solutions are used to replace fluids lost from severe vomiting/diarrhea,
during blood product transfusions, and for rehydration and hyponatremia.
Examples of isotonic solutions are 0.9% NaCl, D5W in the bag, and lactated ringer
solution. - CORRECT ANSWER-What are isotonic solutions used for, and what
are some examples?
Hypotonic solutions are used to treat patients with cellular dehydration,
hypernatremia, and DKA/hyperosmolar hyperglycemia. Hypotonic solutions
include 0.45% NaCl and already infused D5W. - CORRECT ANSWER-What are
hypotonic solutions used for, and what are some examples?
A colloid is a plasma expander (thicker fluid with protein) that pulls fluid into the
bloodstream and may be given when a patient's blood volume does not improve
with crystalloids. Examples of colloid volume expanders are albumin, dextran,
hetastarch, and plasma protein fraction. - CORRECT ANSWER-What is a colloid,
and what are some examples?Hypertonic solutions are used to treat
hyponatremia and hypochloremia. Hypertonic solutions include mannitol and
,3.0% NaCl. - CORRECT ANSWER-What are hypertonic solutions used for, and
what are some examples?
-Hypernatremia
-Vomiting
-Hyperglycemia
-Diuretics
-Diarrhea
-Burns
-Hemorrhage
-NG tubes
-Traumatic wounds
-Fever
-Hyperventilation/increased respiratory rate --> insensible (nonmeasurable) fluid
loss - CORRECT ANSWER-What are causes of dehydration?
-Increased electrolyte levels
-Increased hematocrit
-Increased BUN
, -Increased serum osmolality - CORRECT ANSWER-What lab test results would
we see for dehydration?
-Decreased BP
-Increased HR
-Decreased skin turgor
-Dry skin
-Dry mouth
-Decreased urine output
-Weak pulse
-Orthostatic hypotension
-Thirst
-Confusion
-Rapid weight loss - CORRECT ANSWER-What are the s/s of dehydration/fluid
volume deficit?
-Restore fluid balance by using fluid replacement either orally or via IV, identifying
and treating the underlying cause, and using drug therapy if needed
-Monitor LOC, weight, urine color, input and output of fluids, VS, and skin
assessment