1. A client had a 1000-mL bag of 5% dextrose in 0.9% NS
hung at15:00. The nurse making rounds at 15:45 finds
that the client is complaining of a pounding headache
and is dyspnoeic, experiencing chills, and apprehensive,
with an increased pulse rate. The IV bag has 400 mL
remaining. The nurse should take which action first ?
A. Slow the IV infusion.
B. Sit the client up in bed.
C. Remove the IV catheter.
D. Call the Doctor.
,2. A nurse administers an intravenous solution of 0.45%
sodium chloride. In what category of fluids does this
solution belong ?
A. Isotonic
B. Isomeric
C. Hypotonic
D. Hypertonic
,3. What clinical finding does a nurse anticipate when
admitting a client with an extracellular fluid volume
excess ?
A. Rapid, thready pulse
B. Distended jugular veins
C. Elevated haematocrit level
D. Increased serum sodium level
, 4. A nurse is caring for a client with diarrhoea. In which
clinical indicator does the nurse anticipate a decrease ?
A. Pulse rate
B. Tissue turgor
C. Specific gravity
D. Body temperature
hung at15:00. The nurse making rounds at 15:45 finds
that the client is complaining of a pounding headache
and is dyspnoeic, experiencing chills, and apprehensive,
with an increased pulse rate. The IV bag has 400 mL
remaining. The nurse should take which action first ?
A. Slow the IV infusion.
B. Sit the client up in bed.
C. Remove the IV catheter.
D. Call the Doctor.
,2. A nurse administers an intravenous solution of 0.45%
sodium chloride. In what category of fluids does this
solution belong ?
A. Isotonic
B. Isomeric
C. Hypotonic
D. Hypertonic
,3. What clinical finding does a nurse anticipate when
admitting a client with an extracellular fluid volume
excess ?
A. Rapid, thready pulse
B. Distended jugular veins
C. Elevated haematocrit level
D. Increased serum sodium level
, 4. A nurse is caring for a client with diarrhoea. In which
clinical indicator does the nurse anticipate a decrease ?
A. Pulse rate
B. Tissue turgor
C. Specific gravity
D. Body temperature
