Surgical Nursing II Questions and
Verified Answers (Latest 2025/2026
Update
What is RN's responsibility for IV fluids? - Answer--How does fluid react once inside
body
What does fluid overload do to the body - Answer--Raises BP
What is an isotonic solution? - Answer--solution has same osmotic pressure as body
fluids
What does an isotonic fluid do to body? - Answer--increases circulating blood volume
Where does isotonic fluid go? - Answer--Stays inside beins
Who are isotonic fluids good for (3) - Answer--dehydration, hemorrhage, pt taking
diuretics
What do diurectics do? (2) - Answer--removes circulating blood volume and lowers BP
, What are hypertonic fluids? - Answer--Fluids with a higher osmotic pressure than body
fluids.
Where do hypertonic fluids do? (3) - Answer--Pulls fluid from cells into veins, increases
BP and circulating blood volume
Who are hypertonic fluids good for? (2) - Answer--pt w/ edema, postoperative patients
What are hypotonic fluids - Answer--Fluid has less osmotic pressure than body fluids
What do hypotonic fluids do? - Answer--moves fluid out of veins into cells
Which IV fluid is not commonly used? - Answer--hypotonic fluids
What are the 3 isotonic iv fluids? - Answer--NSS 0.9%, LR, D5W
What are the 3 hypertonic iv fluids? - Answer--D5NS, D5 1/2 NSS, D5LR
Which iv fluid is used most commonly after surgery - Answer--D5LR (hypertonic
solution)
Which IV fluid is used with blood transfusions - Answer--hypertonic fluid
What are the 2 types of hypotonic iv fluids - Answer--0.45% NaCl, 0.33% NaCl
What is another name for normal saline? - Answer--NaCl (sodium chloride)
What should be done of their is a complication with the IV? (3) - Answer--Stop IV fluid,
keep extremity elevated above heart, warm compress
What are 5 generalized complications of IV therapy? - Answer--Embolism, air embolism,
fluid overload, sepsis, catheter dislodgement
What should be done if a central line isnt being used? - Answer--Clamp closed and cap
on
What should be done in an emergency situation where an air embolism enters the
body? - Answer--Place pt on left side in trendelenburg