Asked by Stephanie Pelaez on May 07, 2024

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Which assessment finding should cause a nurse to question administering a sodium-containing isotonic IV fluid?

A) Blood pressure of 102/58.
B) Dry mucous membranes.
C) Poor skin turgor.
D) Pitting edema.

Sodium-Containing

Referring to substances or foods that include sodium, an essential mineral that has various functions in the body but can be harmful in excess.

Isotonic IV Fluid

Isotonic IV fluid is a type of intravenous solution that has the same osmolarity as bodily fluids, commonly used for hydration and replenishment of lost fluids without causing cell shrinkage or swelling.

Pitting Edema

A condition where pressure applied to the skin leaves an indentation, often indicating fluid accumulation in tissues.

  • Apprehend the clinical significance of electrolyte disparities in patients with diverse medical conditions.
  • Acquire knowledge of the mechanics and medical significance of fluid transfers within the body's spaces.
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IM
Ikran MarufMay 10, 2024
Final Answer :
D
Explanation :
Pitting edema indicates that the patient may be retaining excess extracellular fluid,and the nurse should question the order for solution meant to rehydrate the patient.All other options are consistent with ECV deficit,in which case the patient would benefit from a sodium-containing isotonic solution that expands ECV.