INSTRUCTIONS I.V. fluids: What nurses need to know
* To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/nursing.
* On the print form, record your answers in the test answer section of the CE enrollment form on page 39. Each question has only one correct answer. You may make copies of these forms.
* Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
* Registration deadline is May 31, 2013.
DISCOUNTS and CUSTOMER SERVICE
* Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail, and deduct $0.95 from the price of each test.
* We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of Nursing2011 journal, will award 2.8 contact hours for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.8 contact hours.
Your certificate is valid in all states.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.
IV Fluids: What nurses need to know
GENERAL PURPOSE: To provide nurses with a review of I.V. fluid therapy and its mechanisms for restoring homeostasis. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Identify the main fluid compartments in the body. 2. Describe the mechanisms of action of various colloids and crystalloids. 3. Discuss nursing considerations for I.V. fluid administration.
1. The thirst center in the brain is triggered by
a. decreased hemoglobin.
b. increased blood osmolality.
c. decreased blood osmolality.
d. increased blood volume
2. Insensible water loss occurs through the
b. gastrointestinal tract.
3. Which fluid compartment contains cerebrospinal fluid?
4. Which person is likely to have the highest percentage of overall body water?
a. 19-year-old male
b. 25-year-old overweight female
c. 65-year-old female
d. 80-year-old healthy male
5. Normal osmolality for plasma and other body fluids ranges from
a. 200 to 265 mOsm/L.
b. 270 to 300 mOsm/L.
c. 310 to 370 mOsm/L.
d. 375 to 400 mOsm/L.
6. Isotonic fluids increase
b. active transport.
c. intracellular volume.
d. intravascular volume.
7. Which isotonic fluid is used to administer blood products?
a. 0.9% sodium chloride
d. Ringer's solution
8. Which is the most physiologically adaptable I.V. fluid?
a. Ringer's solution
d. 0.9% sodium chloride
9. Approximately how many liters of D5W are needed to provide a patient with 1,000 calories?
10. Overinfusion of isotonic fluids in patients treated for hypovolemia can cause
11. Signs of hypervolemia include all
a. peripheral edema.
b. thready pulse.
d. pulmonary crackles.
12. Which solution can be used to shift fluids into the cells?
a. 0.45% sodium chloride
b. Ringer's solution
d. 5% albumin
13. Older adult patients receiving hypotonic solutions should be monitored for
14. Which of the following is hypertonic?
a. 0.33% sodium chloride
b. 2.5% D5W
c. 0.45% sodium chloride
d. 3% sodium chloride
15. Monitor patients receiving a 3% sodium chloride solution for
b. pulmonary edema.
c. increased ICP.
16. Compared to crystalloids, colloid solutions
a. have a longer duration of action.
b. have a shorter duration of action.
c. require infusion of a larger total volume.
d. have a lower oncotic pressure.
17. One of the most commonly used colloids is
a. 5% albumin.
18. Colloid solutions can interfere with
a. glucose metabolism.
b. renal function.
c. liver function.
d. platelet function.