9. Which IV fluid order is most appropriate for a client on dialysis?
. D5 ½NS at 20 mL/hr.
. NS at 150 mL/hr.
. ¼NS with 20 mEq KCl at 75 mL/hr.
. D10W with 40 mEq KCl at 50 mL/hr.
Test-Taking Tip
First, eliminate the two options with potassium (Answers 3 and 4). Then, select the option with the slowest rate. Look for the option that best addresses the fluid and sodium restrictions usually required for the client with chronic renal failure.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Parenteral/Intravenous Therapies
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Answer 1 is correct because clients on dialysis should receive minimal fluids and no potassium, since these agents cannot be removed until the next dialysis treatment. Answer 2 is incorrect because this IV rate is too fast for a client who is unable to excrete fluids via the kidney. Answer 3 is incorrect because potassium is rarely given to clients requiring dialysis since they are unable to secrete any excess. Answer 4 is incorrect because potassium is rarely given to clients requiring dialysis since they are unable to secrete any excess.