Final answer:
When a patient does not take in enough free water, the osmolality of the extracellular fluid (ECF) is elevated above normal. This represents a hypertonic alteration.
Step-by-step explanation:
When a patient does not take in enough free water, the osmolality of the extracellular fluid (ECF) is elevated above normal. This represents a hypertonic alteration. In a hypertonic solution, the extracellular fluid has a higher osmolarity than the cell's cytoplasm, which means that the fluid contains less water than the cell does. As a result, water will leave the cell.