A patient has been diagnosed with hypovolemia. Which ...

[WhattoUnderstand]

A patient has been diagnosed with hypovolemia. Which prescriptions for hydration should the nurse question? Select all that apply.
 
  a. 0.9 (normal) saline at 100 mL/hr
  b. Lactated Ringer's solution at 100 mL/hr
  c. D50W at 100 mL/hr
  d. D5W solution at 100 mL/hr

Question 2

A patient had abdominal surgery. The incision has been closed by primary intention, and the staples are intact.
 
  To provide more support to the incision site and decrease the risk of dehiscence, it would be appropriate to apply which of the following?
  a. Steri-Strips
  b. Abdominal binder
  c. T-binder
  d. Paper tape

[Silverbeard98]

Answer to Question 1

C, D
Hypovolemia occurs when there is a proportional loss of water and electrolytes from the ECF. Lactated Ringer's and 0.9 (normal) saline are isotonic fluids that remain inside the intravascular space, thus increasing volume. The D5W is a hypotonic solution that would pull body water from the intravascular compartment into the interstitial fluid compartment. D50W is used to treat diabetic patients who have severe hypoglycemia (low blood sugar).

Answer to Question 2

B
An abdominal binder provides added support to an incision site and decreases the risk of wound dehiscence. A T-binder is used in the perineal area. Steri-Strips and paper tape would not be needed for an approximated incision that has intact staples or sutures.

[WhattoUnderstand]

TYSM

[bulacsom]

Excellent