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4. The nurse is caring for a patient who weighs 75 kg. The patient has intravenous (IV) fluids
infusing at a rate of 50 mL/hour and has consumed 100 mL of fluids orally in the past 24 hours.
Which action will the nurse take?
a. Contact the provider to ask about increasing the IV rate to 90 mL/hour.
b. Discuss with the provider the need to increase the IV rate to 150 mL/hour.
c. Encourage the patient to drink more water so the IV can be discontinued.
d. Instruct the patient to drink 250 mL of water every 8 hours. - Answers✔ANS: A
The recommended daily fluid intake for adults is 30 to 40 mL/kg/day. This patient should have a
minimum of 2250 mL/day and is currently receiving 1200 mL IV plus 100 mL orally for a total of
1300 mL. Increasing the IV rate to 90 mL/hour would give the patient 2160 mL. If the patient
continues to take oral fluids, the amount of 2250 mL can be met. A rate of 150 mL per hour
would give the patient 3600 mL per day, which exceeds the recommended amount. Since this
patient is not taking fluids well and is not receiving adequate IV fluids, encouraging an increased
fluid intake is not indicated. Even if the patient drank 250 mL of water every 8 hours, the
amount would not be sufficient.
5. The nurse is caring for a patient who has a heart rate of 98 beats per minute and a blood
pressure of 82/58 mm Hg. The patient is lethargic, is complaining of muscle weakness, and has
had gastroenteritis for several days. Based on this patient's vital signs, which sodium value
would the nurse expect?
a. 126 mEq/L
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