The nurse is caring for a client with hypernatremia. Which prescribed intravenous fluid (IVF) would be appropriate?A. Dextrose 5% in water (D5W)B. 3% salineC. Lactated Ringer’s 5% Dextrose in Water (D5LR)D. 0.9% saline
Question
The nurse is caring for a client with hypernatremia. Which prescribed intravenous fluid (IVF) would be appropriate?A. Dextrose 5% in water (D5W)B. 3% salineC. Lactated Ringer’s 5% Dextrose in Water (D5LR)D. 0.9% saline
Solution
The appropriate intravenous fluid (IVF) for a client with hypernatremia would be A. Dextrose 5% in water (D5W).
Here's why:
Hypernatremia is a condition characterized by high levels of sodium in the blood. The goal of treatment is to correct the sodium imbalance.
A. Dextrose 5% in water (D5W) is a hypotonic solution, which means it has fewer solutes (like sodium) than the blood. This can help dilute the sodium in the blood, bringing its levels down.
B. 3% saline is a hypertonic solution, which means it has more solutes than the blood. This would increase the sodium levels in the blood, which is not what you want in a case of hypernatremia.
C. Lactated Ringer’s 5% Dextrose in Water (D5LR) is a balanced electrolyte solution, but it also contains sodium, which could potentially worsen the hypernatremia.
D. 0.9% saline is an isotonic solution, which means it has the same concentration of solutes as the blood. This would not help to decrease the sodium levels in the blood.
Therefore, D5W would be the most appropriate IVF for a client with hypernatremia.
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