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    ATI NUR 180 Pharmacology Proctored Exam

    The nurse is preparing to administer hydration via an intravenous route to a client. The nurse understands that the patient needs an isotonic solution. Which of the following options is considered an isotonic solution?

    Explanation & Rationale

    Choice A rationale Lactated Ringers (LR) is an isotonic solution, which means it has the same osmolarity as blood plasma. This property makes LR suitable for rehydrating patients without causing a significant shift of fluids between compartments, maintaining the balance of electrolytes. Choice B rationale 0.45% Sodium Chloride is a hypotonic solution, meaning it has a lower osmolarity compared to blood plasma. This type of solution would cause fluid to move into cells, potentially leading to cellular swelling. Choice C rationale Dextrose in Lactated Ringers is a hypertonic solution because the added dextrose increases the osmolarity. This solution can cause fluid to shift out of cells, leading to cellular shrinkage, which is not ideal for rehydration. Choice D rationale None of the above is incorrect because Lactated Ringers (LR) is indeed an isotonic solution.

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