QUESTIONS
, 1. Fluid therapy for a 38-year-old male who has been admitted for an outpatient surgical
procedure.
A. LACTATED RINGERS
B. 5% DEXTROSE IN WATER
Ans: For this clinical situation, an isotonic fluid would be indicated for short term fluid therapy.Five
percent dextrose in water is a hypotonic fluid that could potentially cause fluid shifts.
2. Fluid therapy for a 16-year-old female trauma patient who has head trauma and suspectedcerebral
edema following an automobile accident.
A. MANNITOL
B. ALBUMIN
Ans: Mannitol is an osmotic diuretic and would be indicated to treat cerebral edema. Albuminwould be
indicated to treat shock.
3. 22-year-old female patient who is pregnant and admitted with hyperemesis gravidarum.
A. COLLOID
B. CRYSTALLOID
Ans: Crystalloid therapy would be used in fluid replacement for a pregnant patient with hyperemesis.
Colloid therapy would not be indicated. The use of colloid therapy would becontraindicated because it
would remain in the intravascular space and contribute to fluidshifting and fluid retention.
4. 58-year-old male patient admitted for hypokalemia who requires potassium replacementtherapy
parentally.
A. GIVEN AS IVP BOLUS
B. GIVEN IN IV SOLUTION
Ans: Potassium replacement therapy is considered to be a high-alert medication and as such should never
be administered as an IVP bolus. Safety considerations require that potassium beadministered as part of an
IV solution.
5. 80-year-old male patient who is hypotensive admitted for fluid replacement therapy.
A. 3% NORMAL SALINE
B. NORMAL SALINE
Ans: An isotonic fluid would be indicated for replacement therapy for a hypotensive elderly patient.
Three percent normal saline is a hypertonic solution and would cause fluid shifting andworsen cellular
dehydration.
6. Which types of fluid solutions would result in fluid shifting occurring within the body? Selectall
that apply.
A. Hypertonic
B. Hypotonic
C. Colloid
D. Isotonic
E. Crystalloid
7. Which compensatory mechanism would be initiated in the body in response to a low volumestate?
A. Inhibition of osmoreceptors to prevent further fluid loss
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