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.
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.