问题 单项选择题

The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client ?()

A.Distilled water.

B.Dextrose 5% in water (D5W) only.

C.DSW with 40 mEq of potassium chloride.

D.Dextrose 10% in saline.

答案

参考答案:B

解析:

Increasing fluid volume and urine output is the main consideration when fluid replacement therapy is indicated. Therefore, DSW and a hypotonic solution would be indicated. Distilled water is never given for IV replacement therapy, even though it's a hypotonic solution. Potassium chloride is added when adequate output is established, depending on the extent of hypokalemia determined by laboratory electrolyte studies. Dextrose 10% in saline is a hypertonic solution that increases the degree of osmotic pressure and would increase intracellular dehydration; therefore, it's contraindicated.

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