A client with diabetes insipidus is extremely dehydrated and is unable to take oral fluids. Fluid therapy is prescribed. Which intervention would be most important for the client?

Monitoring the rate of IV infusions.

Weighing the client daily.

Measuring the urine output every 30 minutes.

Measuring the fluid intake.

Answer and Explanation

The Correct Answer is A

Monitoring the rate of IV infusions. In clients with diabetes insipidus, fluid therapy is essential to restore hydration levels. It is important to monitor the rate of IV infusion to avoid rapid administration of fluids, which can lead to fluid overload and pulmonary edema. Therefore, monitoring the rate of IV infusions is the most important intervention for this client.

Choice B, weighing the client daily, is incorrect because it is not the most important intervention for this client. While daily weighing is important for monitoring fluid balance, monitoring the rate of IV infusion is more critical.

Choice C, measuring the urine output every 30 minutes, is incorrect because although it is important to monitor urine output in clients with diabetes insipidus, it is not the most important intervention. Monitoring the rate of IV infusion is more critical to prevent fluid overload.

Choice D, measuring the fluid intake, is incorrect because although it is important to monitor fluid intake in clients with diabetes insipidus, it is not the most important intervention. Monitoring the rate of IV infusion is more critical to prevent fluid overload.

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Correct Answer is C

Explanation

Measure abdominal girth according to a set routine. Abdominal enlargement is a common finding in clients with cirrhosis, which is a condition characterized by liver scarring and impaired liver function. Measuring abdominal girth regularly is an important nursing intervention to monitor the progression of abdominal distention and to identify potential complications such as ascites, which is an accumulation of fluid in the abdomen.

Choice A, reporting the condition to the physician immediately, may be necessary if the abdominal enlargement is sudden or accompanied by other symptoms such as severe pain or shortness of breath.

Choice B, providing the client with nonprescription laxatives, is not indicated for abdominal enlargement in clients with cirrhosis.

Choice D, asking the client about food intake, is not relevant to the assessment of abdominal enlargement in clients with cirrhosis.

A. Diabetes. B. Cardiac disease. C. Compression fractures. D. Hypertension.

Correct Answer is C

Explanation

Compression fractures. Osteoporosis is a condition characterized by decreased bone mass and density, which can lead to an increased risk of fractures. In severe cases of osteoporosis, the client may be at risk for compression fractures, especially in the spine. Compression fractures can lead to pain, loss of height, and a stooped posture.

Choice A, diabetes, is not the correct answer because it is a metabolic disorder that affects the way the body uses glucose.

Choice B, cardiac disease, is not the correct answer because it is a group of disorders that affect the heart and blood vessels.

Choice D, hypertension, is not the correct answer because it is a condition characterized by high blood pressure.

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A client with diabetes insipidus is extremely dehydrated and is unable to take oral fluids. Fluid therapy is prescribed. Which intervention would be most important for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?

Correct Answer is C

Explanation

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density?

Correct Answer is C

Explanation

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