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 suspected cerebral edema following an automobile accident.
A. MANNITOL
B. ALBUMIN
Ans: Mannitol is an osmotic diuretic and would be indicated to treat cerebral
edema. Albumin would 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 be contraindicated because it would remain in the intravascular
space and contribute to fluid shifting and fluid retention.
4. 58-year-old male patient admitted for hypokalemia who requires potassium
replacement therapy 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 be administered 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 and worsen cellular dehydration.
6. Which types of fluid solutions would result in fluid shifting occurring within the
body? Select all that apply.
A. Hypertonic
B. Hypotonic
C. Colloid
D. Isotonic
E. Crystalloid
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, 7. Which compensatory mechanism would be initiated in the body in response to a
low volume state?
A. Inhibition of osmoreceptors to prevent further fluid loss
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