A nurse is caring for an older patient admitted with mild dehydration. What advice should the nurse give to best address this issue?
Dehydration can lead to incontinence.
Take your diuretic in the morning.
Have a drink every 1 to 2 hours.
Reduce some sodium from your diet.
The Correct Answer is C
Choice A rationale:
While it's true that dehydration can lead to incontinence, simply stating this fact to the patient doesn't directly address the issue of dehydration. It doesn't provide actionable steps to correct the dehydration.
Incontinence can be a result of dehydration, but addressing the dehydration is the primary concern to prevent further complications.
Providing information about incontinence might be helpful in other contexts, but it's not the most effective advice to address mild dehydration in this specific scenario.
Choice B rationale:
Diuretics promote fluid loss through urination, which can worsen dehydration.
Advising the patient to take a diuretic in the morning would be counterproductive in this case. The goal is to increase fluid intake, not further deplete fluid levels.
It's important to consider the patient's medications and potential interactions before suggesting any changes to their medication regimen.
Choice C rationale:
Regular fluid intake is essential for maintaining hydration and replenishing lost fluids.
This advice directly addresses the issue of dehydration by encouraging the patient to consume fluids consistently. Drinking fluids every 1 to 2 hours can help restore fluid balance and prevent further complications.
It's a simple, actionable, and effective measure to address mild dehydration.
Choice D rationale:
While reducing sodium intake can be beneficial for some individuals with hypertension or other conditions, it's not the most relevant advice for addressing mild dehydration.
Sodium restriction might be appropriate in certain cases, but it doesn't directly address the immediate need to increase fluid intake.
The primary focus in this situation should be on replenishing fluids, not restricting sodium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Massaging the site with scented oils is not recommended for pain relief after removal of a peripheral vascular access device. There is no evidence to support the effectiveness of scented oils in this context.
Additionally, some scented oils can be irritating to the skin, which could potentially worsen the pain, redness, and swelling.
It's crucial to use products that are specifically designed for wound care and pain management, and to follow the healthcare provider's instructions.
Choice B rationale:
Applying warm compresses to the site is an effective and recommended intervention to alleviate pain, redness, and swelling after removal of a peripheral vascular access device.
Warm compresses have the following beneficial effects:
Vasodilation: They promote blood flow to the area, which helps to reduce inflammation and pain. Muscle relaxation: The warmth helps to relax tense muscles, further easing discomfort.
Pain relief: Warmth can directly inhibit pain signals, providing a soothing sensation.
Increased circulation: Improved blood flow can help to remove inflammatory substances and promote healing. It's important to use a clean, warm compress and to apply it for 15-20 minutes at a time, several times a day.
Choice C rationale:
Topical lidocaine is a local anesthetic that can temporarily numb the skin.
While it can be used for pain relief, it's not typically the first-line intervention for pain associated with removal of a peripheral vascular access device.
Warm compresses are often preferred as they provide a more natural and non-invasive approach to pain management.
Choice D rationale:
Oral pain medication may be necessary if warm compresses do not provide adequate pain relief.
However, it's important to follow the healthcare provider's instructions regarding the type and dosage of pain medication to use.
Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be sufficient in some cases. Stronger prescription pain medication may be needed for more severe pain.
Correct Answer is C
Explanation
Step 1: Divide the prescribed dose (40 mg) by the concentration on hand (30 mg/mL).
Step 2: Perform the calculation: 40 mg ÷ 30 mg/mL = 1.3333 mL.
Step 3: Round the answer to the nearest tenth: 1.3333 mL rounds to 1.3 mL.
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