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.
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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Related Questions
Correct Answer is D
Explanation
A. Infection: While infection can cause localized redness and swelling, deep vein thrombosis (DVT) is a more likely cause given the client's immobility and other risk factors.
B. Fat emboli: Fat emboli typically occur after trauma or orthopedic procedures, and their presentation is less likely in this scenario.
C. Pulmonary embolism: While a pulmonary embolism is a potential complication of DVT, it presents with symptoms such as dyspnea, chest pain, and tachypnea, rather than localized redness and swelling in the calf.
D. Deep vein thrombosis: This condition, characterized by redness and swelling in the affected limb, is common in immobile patients and those with dehydration, making it the most likely cause of the client's symptoms.
Correct Answer is A
Explanation
A. "I can only give medical information to your child because the client is an adult.": This
response respects the client's autonomy and confidentiality as an adult and upholds legal and ethical principles regarding patient privacy.
B. "I'm sorry, but your child's medical information is none of your business.": This response is dismissive and disrespectful, violating the client's right to privacy and confidentiality.
C. "The healthcare provider will share this information with you.": While healthcare providers may share information with family members if the client consents or if it's deemed necessary for the client's care, this response does not address the legal and ethical considerations regarding patient confidentiality and autonomy.
D. "I can give you those results as soon as I get them back from the lab.": This response does not address the issue of patient confidentiality and may inadvertently disclose sensitive medical information without the client's consent.
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