Hypertonic, Hypotonic, Isotonic

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. Isotonic

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. 0.45% Saline

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. D5W

What type of fluid would a patient with severe hyponatremia most likely be started on?
a. Hypotonic
b. Hypertonic
c. Isotonic
d. Colloid

b. Hypertonic

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. Pulmonary Edema

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. 3% Saline

A patient with cerebral edema would be ordered a HYPERTONIC solution to decrease brain swelling. The solution would remove water from the brain cells back into the vascular to be excreted. 3% Saline is the only hypertonic option.

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

a. Hypotonic
b. Hypertonic
c. Isotonic
d. Osmosis

b. Hypertonic

D5W solutions are sometimes considered a hypotonic solution as well as an isotonic solution because after the body metabolizes the dextrose the solution acts as a hypotonic solution.

a. True
b. False

a. True

D5W is classified as a ISOTONIC fluid BUT after adminstration the body metabolizes the dextrose and the fluid left over is a hypotonic solution.

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. Patient with increased intracranial pressure

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

a. Hypotonicity
b. Hypertonicity
c. Isotonicity
d. None of the options are correct

a. Hypotonicity

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

a. Hypotonic
b. Hypertonic
c. Isotonic
d. Colloids

a. Hypotonic

Isotonic fluids cause shifting of water from the extracellular space to the intracellular space.

a. False
b. True

a. False

HYPOTONIC fluids cause shifting of water from the extracellular space to the intracellular space

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. 0.9% Normal Saline