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 ["A","B"]

Explanation

A. Comfortable waiting areas can help parents feel more at ease during their child's procedure, as proximity may provide a sense of reassurance.
B. Information on post-procedure care can empower parents to take an active role in their child's recovery, which can be comforting.
C. It is unethical and incorrect to guarantee that any medical procedure is 100% effective and safe; complications can arise, and setting realistic expectations is crucial.
D. Limiting visitation can increase anxiety as it separates parents from their child, which can be distressing for both the child and the parents.
E. Providing a general timeframe for the procedure can help manage expectations and reduce anxiety, rather than leaving the parents to worry about an indefinite wait.

A. Have the client breathe into a paper bag. B. Ask the client to take short, rapid breaths. C. Instruct the client in pursed lip breathing. D. Increase oxygen to three L/minute.

Correct Answer is C

Explanation

A. Having the client breathe into a paper bag is a technique sometimes used for anxiety-induced hyperventilation but is not appropriate for a client with chronic obstructive lung disease
experiencing shortness of breath. It can lead to a buildup of carbon dioxide, worsening the client's condition.
B. Asking the client to take short, rapid breaths may exacerbate hyperventilation and increase the client's anxiety. This breathing pattern can lead to further respiratory distress in a client with
chronic obstructive lung disease.
C. Instructing the client in pursed lip breathing is the most appropriate action. Pursed lip breathing helps to prolong exhalation, reduce air trapping, and improve gas exchange in clients with chronic obstructive lung disease. It can help alleviate shortness of breath and promote
relaxation.
D. Increasing oxygen to three L/minute may not be necessary and could potentially lead to oxygen toxicity. The priority is to help the client manage their shortness of breath effectively through breathing techniques.

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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 can the nurse do to help the parents to decrease their anxiety? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

Correct Answer is C

Explanation

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