Resuscitation Phase and Fluid Replacement · NCLEX Exam

What is one reason fluid resuscitation may fail (i.e., the patient remains hypotensive or oliguric despite fluids)?

  1. Over-administration of fluids reliably resolves persistent hypotension and oliguria
  2. Concomitant cardiac or renal dysfunction, delayed transport, or ongoing bleeding
  3. Choosing lactated Ringer's solution instead of normal saline for resuscitation
  4. Withholding fluids until full enteral feeding has been successfully established
Show answer and explanation

Correct answer: Concomitant cardiac or renal dysfunction, delayed transport, or ongoing bleeding

If resuscitation fails, reasons may include delayed initiation, inhalation injury, cardiac/renal issues, ongoing hemorrhage or under-estimated burn size—all requiring reassessment beyond simply increasing fluids.

Difficulty: Medium Question 20 of 20

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