Normal Saline Solution Flashcards, test questions and answers

Question 1

The nurse assisting in the admission of a client with diabetic ketoacidosis will anticipate the physician ordering which of the following types of intravenous solution if the client cannot take fluids orally? a. 0.45% normal saline solution b. Lactated Ringer’s solution c. 0.9 normal saline solution d. 5% dextrose in water (D5W)

Answer

a. 0.45% normal saline solution
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Question 2

A nurse is performing dressing change on a client with a red, granulating foot ulcer. Which action is part of this procedure? a. Fully cleaning the ulcer vigorously b. Cleaning the wound with normal saline solution c. Performing wet-to-dry dressing change d. Applying a dry gauze dressing change

Answer

(B) A well granulating foot ulcer is healing well and should be cleaned with a normal saline solution.
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Question 3

Poisons that enter through the eye should be treated by: A. flushing with clean water. B. flushing with eye drops. C. flushing with milk. D. flushing with 0.9% normal saline solution.

Answer

A. flushing with clean water.
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Question 4

125 A patient with a blood pressure of 100/70 mm Hg is hypotensive. Normal saline solution is used to maintain the patient’s sodium level. The formula used to calculate the flow rate is the total infusion volume (mL) divided by the hours of infusion. Therefore, 500 mL of normal saline is divided by 4 hours to calculate the infusion rate, which is 125 mL per hour.

Answer

The primary health care provider orders the nurse to infuse 500 mL normal saline over 4 hours to a patient with a blood pressure of 100/70 mm Hg. What is the flow rate of infusion? Record your answer in mL per hour. _________ mL/hr
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Question 5

If irrigation is indicated through a NG tube, use normal saline solution or check agency procedure

Answer

On a daily basis, remove the adhesive tape that is securing the tube to the nose and clean and dry the skin, assessing for excoriation, and reapply the tape
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Question 6

isotonic normal saline solution (0.9%)

Answer

o Only isotonic normal saline solution (0.9%) is given with blood products.
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Question 7

A nurse is transfusing a unit of O-negative fresh frozen plasma to a client whose blood type is B positive. Which of the following actions should the nurse take? Continue to monitor for manifestations of a transfusion reaction. Remove the unit of plasma immediately and start an IV infusion of normal saline solution. Continue the transfusion and repeat the type and crossmatch. Prepare to administer a dose of diphenhydramine IV

Answer

Remove the unit of plasma immediately and start an IV infusion of normal saline solution. A client who receives FFP that is not compatible can experience a hemolytic transfusion reaction. The nurse should stop the transfusion and infuse 0.9% sodium chloride solution with new tubing.
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Question 8

2. A 40-year-old client is admitted to the hospital with a diagnosis of acute cholecystitis. The nurse should contact the physician to question which of the following orders? 1. I.V. fluid therapy of normal saline solution to be infused at 100 mL/hour until further orders. 2. Administer morphine sulfate 10 mg I.M. every 4 hours as needed for severe abdominal pain. 3. Nothing by mouth (NPO) until further orders. 4. Insert a nasogastric tube and connect to low intermittent suction.

Answer

2. A nurse should question the order for morphine sulfate because it is believed to cause biliary spasm. Thus, the preferred opioid analgesic to treat cholecystitis is meperidine (Demerol). Elderly clients should not be given meperidine because of the risk of acute confusion and seizures in this population. An alternative pain medication will be necessary. I.V. fluid therapy is used to maintain fluid and electrolyte balance that may result from NPO status and gastric suctioning. NPO status and gastric decompression prevent further gallbladder stimulation.
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Question 9

The nurse receives a physician’s order to administer 1,000 ml of normal saline solution I.V. over 8 hours to a client who recently had a stroke. What should the drip rate be if the drop factor of the tubing is 15 gtt/ml?

Answer

31
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Question 10

4 A patient with vomiting and diarrhea may experience lightheadedness due to fluid and electrolyte imbalance. The blood pressure may also be altered to 90/58 mm Hg while changing positions, resulting in postural hypotension. Administering 1000 mL of 0.9% normal saline solution with 10 mEq of potassium chloride may accelerate the improvement of the patient’s condition. Diuretics such as furosemide and thiazide may lead to hyponatremia and hypokalemia, which may aggravate the patient’s condition. Monitoring the patient’s 24-hour fluid intake and urine output is important, but it may not directly comfort the patient. Limiting the patient’s intake of fluids and foods rich in sodium may worsen the condition.

Answer

A patient with vomiting and diarrhea reports lightheadedness while standing from a sitting position. The patient’s blood pressure is 90/58 mm Hg. Which intervention would best treat this patient? 1 Administering diuretics 2 Monitoring the patient’s 24-hour fluid intake and urine output 3 Limiting the patient’s intake of fluids and foods rich in sodium 4 Administering 1000 mL of 0.9% normal saline solution with 10 mEq of potassium chloride
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