RNSG 1533 Exam 1 questions with complete solutions

RNSG 1533 Exam 1What are complications of IVFs? - correct answer Isotonic Solution: CAUTION- Can cause FVE and hyperchloremic acidosis if used in excess volumes. Hypotonic Solution: CAUTION- Can cause cardiovascular collapse & increase intracranial pressure (cells blow up-hemolysis). Hypertonic Solution: CAUTION- Give SLOWLY, it can cause FVE & pulmonary edema. Cells will begin to shrink and die. General IV complications and their treatments/preventive measures: - Fluid overload: Distended neck veins, increased BP, tachycardia, SOB, crackles in lungs - Hematoma: Ecchymosis at the site - Thrombophlebitis or Phlebitis: inflammation of the vein, edema; throbbing, burning, or pain at the site; red line up the arm - Infiltration or Extravasation: pallor, local swelling and decreased temperature around the site What are the different types of IVF? - correct answer Solution Mechanism Use Contraindication 0.9% NaCl Normal Saline (NS) - Expands the ECF volume. - Has the same tonicity as plasma, so naturally they're the only solutions that can be given with blood products. (Doesn't shrink or swell cells) - Can be used for patients in hypovolemic states (FVD), shock, DKA, metabolic alkalosis, hypercalcemia, and mild Na+ deficit.