An older resident of an extended care facility has recurrent urinary tract infections. The nursing care plan includes the goal, "Increase daily intake of fluids." Which nursing intervention is most useful in assisting the resident to meet this goal?

Record the client's intake and output every shift.

Offer a glass of fluid every hour while awake.

Increase fluids provided with the client's meals.

Maintain a full pitcher of water at the bedside.

Answer and Explanation

The Correct Answer is B

A.   Record the client's intake and output every shift: While important for monitoring fluid balance, this intervention does not directly facilitate increased fluid intake.
B.   Offer a glass of fluid every hour while awake: This intervention ensures regular and frequent opportunities for the resident to consume fluids, which can help increase overall intake.
C.   Increase fluids provided with the client's meals: While this may help increase fluid intake, relying solely on meals may not be sufficient, especially if the resident does not finish their meals.
D.   Maintain a full pitcher of water at the bedside: While having water readily available is important, relying solely on this may not ensure regular intake throughout the day.

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Correct Answer is ["C","E","F"]

Explanation

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

A. Administer an IV analgesic. B. Provide pillow for splinting. C. Assess the IV site for patency. D. Place in a high-Fowler's position.

Correct Answer is A

Explanation

A. Administering an IV analgesic is the most important intervention for managing the client's severe abdominal incisional pain. Prompt pain management is essential for the client's comfort and well-being, and severe pain can lead to increased physiological stress responses, such as
tachycardia and hypertension.
B. Providing a pillow for splinting may help alleviate pain to some extent, but it does not address the underlying cause of the severe abdominal incisional pain. Pain management with analgesics is the priority.
C. Assessing the IV site for patency is important for ensuring the delivery of medications, but it is not the most urgent intervention in this situation where the client is experiencing severe pain.
D. Placing the client in a high-Fowler's position may help alleviate some discomfort, but it is not the most important intervention for managing the client's severe abdominal incisional pain.
Administering analgesics should be prioritized.

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An older resident of an extended care facility has recurrent urinary tract infections. The nursing care plan includes the goal, "Increase daily intake of fluids." Which nursing intervention is most useful in assisting the resident to meet this goal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits What should the nurse include in post discharge care education? Select all that apply.

Correct Answer is ["C","E","F"]

Explanation

Correct Answer is A

Explanation

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