Isotonic, Hypotonic, and Hypertonic IV Solutions

When the cell presents with the same concentration on the inside and outside with no shifting of fluids this is called?

A. Hypotonic

B. Hypertonic

C. Osmosis

D. Isotonic

D

The doctor orders an isotonic fluid for a patient. Which of the following is not an isotonic fluid?

A. 0.9% Normal Saline

B. Lactated Ringers

C. 0.45% Saline

D. 5% Dextrose in 0.225% saline

C

A patient is being admitted with dehydration due to nausea and vomiting. Which fluid would you expect the patient to be started on?

a. 0.9% Normal Saline

b. 0.33% saline

c. 0.225% saline

d. 5% Dextrose in 0.9% Saline

A

True or False: Isotonic fluids cause shifting of water from the extracellular space to the intracellular space.

False

________ fluids remove water from the extracellular space into the intracellular space.

Hypotonic

Which of the following conditions can lead to cell lyses if not properly monitored?

A. Isotonicity

B. Hypotonicity

C. Hypertonicity

D. None of the options are correct

B

Which of the following patients would not be a candidate for a hypotonic solution?

A. Patient with Diabetic Ketoacidosis

B. Patient with increased intracranial pressure

C. Patient experiencing Hyperosmolar Hyperglycemia

D. All of the options are correct

B

True or False: D5W solutions are sometimes considered a hypotonic solution as well as an isotonic solution because after the body absorbs the dextrose the solution acts as a hypotonic solution.

True

_______ solutions cause cell dehydration and help increase fluid in the extracellular space.

Hypertonic

A patient with cerebral edema would most likely be order what type of solution?

A. 3% Saline

B. 0.9% Normal Saline

C. Lactated Ringer's

D. 0.225% Normal Saline

A

When administering a hypertonic solution the nurse should closely watch for?

A. Signs of dehydration

B. Pulmonary Edema

C. Fluid volume deficient

D. Increased Lactate level

B

What type of fluid would a patient with severe hyponatremia most likely be started on?

A. Hypotonic

B. Isotonic

C. Hypertonic

D. Colloid

C

Which of the following is not a hypertonic fluid?

A. 3% Saline

B. D5W

C. 10% Dextrose in Water (D10W)

D. 5% Dextrose in Lactated Ringer's

B