The nurse recognizes that the client, based on the imbalance that ...

[jon_i]

The nurse recognizes that the client, based on the imbalance that is present, will require fluid replacement with isotonic solution. Which of the following is one of the isotonic solutions that may be ordered by the physician?
 
  a. 0.45 saline
  b. Lactated Ringer's
  c. 5 dextrose in normal saline
  d. 5 dextrose in lactated Ringer's

Question 2

Which interventions are appropriate for the nursing diagnosis Impaired tissue integrity related to poor wound healing secondary to diabetes? (Select all that apply.)
 
  a. Teach the patient about signs and symptoms of infection.
  b. Help the patient cope with changes in body image that result from the wound.
  c. Perform dressing changes twice a day as ordered.
  d. Administer medications to control the patient's blood sugar as ordered.
  e. Teach the family how to perform dressing changes.

[zenzy]

Answer to Question 1

B
Lactated Ringer's is an isotonic solution.
Zero point four five percent saline is a hypotonic solution.
Five percent dextrose in normal saline is a hypertonic solution.
Five percent dextrose in lactated Ringer's is a hypertonic solution.

Answer to Question 2

A, C, D, E
The cause of the problem is poor wound healing secondary to diabetes. Nursing priorities include interventions directed at enhancing wound healing. Teaching the patient about signs and symptoms of infection will help the patient identify signs of appropriate wound healing and know when the need for calling the health care provider arises. Performing dressing changes, controlling blood sugars through administration of medications, and involving the family in dressing changes all contribute to wound healing. Although the patient possibly has altered body image related to the wound, counseling the patient about coping strategies addresses body image, not wound healing.