A patient who is ordered a ﬂuid restriction of 1000ml ﬂuid restriction. He is on the list for a kidney transplant due to kidney failure. His mouth feels dry during the day. and he wants to know how he can moisten his mouth without going over his restriction:

Ask the family to bring in hard cardies that help promote salivation and prevent dry mouth.

Oﬀer him caﬀeinated tea since tea has diuretic properties it won’t aﬀect his ﬂuid restriction.

Sip the water he is allowed to have slowly to make it last throughout the day.

Drink as much Gatorade as he feels he needs to quench his thirst.

Answer and Explanation

The Correct Answer is C

c. Sip the water he is allowed to have slowly to make it last throughout the day.

Option a is not recommended as hard candies may contain sugar and artificial sweeteners, which can be harmful to the patient's health.

Option b is not recommended because caﬀeinated tea has diuretic properties that can increase urine output, leading to further dehydration.

Option d is not recommended as Gatorade is a sports drink that contains high amounts of sugar and electrolytes, which can lead to ﬂuid overload and imbalances.

Sipping the water slowly can help the patient moisten his mouth without going over his ﬂuid restriction. This approach can also help him pace his ﬂuid intake throughout the day, which can be beneficial for maintaining proper hydration levels and managing ﬂuid overload.

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Correct Answer is B

Explanation

Hyponatremia is a condition where the sodium levels in the blood are abnormally low. It can cause confusion, seizures, and even coma in severe cases. The IV ﬂuids hanging are 0.33% NaCI, which means they have a low sodium concentration, and may be contributing to the patient's hyponatremia.

Given that the patient is becoming increasingly confused, it is important to assess his mental status and monitor him closely to prevent harm. However, restraining the patient should not be the first course of action. Instead, the nurse should focus on identifying the underlying cause of the hyponatremia and taking appropriate steps to address it.

Therefore, the next step would be to get an order for additional lab work to assess the patient's electrolyte levels and identify the cause of the hyponatremia. This will help to guide further treatment and management decisions for the patient.

A. “Car seats are recommended until children are at least 10 years old/ B. “Your child will be safe in the car using the provided shoulder harness and lap belts/ C. "At the age of 6 your child should be using a booster seat.' D. "Car seats are only recommended until children are 3 years old."

Correct Answer is C

Explanation

Booster seats are recommended for children between the ages of 4 and 8, or until they are 4'9" tall. This is because seat belts are designed for adults and may not properly fit a child's smaller body. A booster seat helps to position the seat belt correctly on the child's body, improving the eﬀectiveness of the seat belt and reducing the risk of injury in the event of a crash.

Option a is incorrect because 10 years old is too old to need a car seat. Option b is incorrect because children under the age of 8, or under 4'9" tall, should not use a seat belt alone. Option d is incorrect because car seats are recommended until children are at least 4 years old, not 3.

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A patient who is ordered a ﬂuid restriction of 1000ml ﬂuid restriction. He is on the list for a kidney transplant due to kidney failure. His mouth feels dry during the day. and he wants to know how he can moisten his mouth without going over his restriction:

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is discussing car safety with the mother of a 6-year-old child. The child’s mother questions the need for the use of special car seats for her child. What information can be provided to her?

Correct Answer is C

Explanation

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