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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Instructing the client on the importance of notifying sexual partners is essential to prevent the spread of genital herpes and other sexually transmitted infections. Partner notification is crucial for their testing, treatment, and prevention of further transmission.
B. While it is true that cases of certain STIs are reportable to local health departments, focusing solely on reporting does not address the immediate concern of preventing transmission to sexual partners.
C. While partners without symptoms may not be infected, they could still be carriers of the virus and transmit it to others. It's important to emphasize the potential risk of transmission regardless of symptoms.
D. Counseling that most contraceptives protect against infection is inaccurate regarding STIs.
While contraceptives may prevent pregnancy, they do not provide protection against STIs like genital herpes. It's important to provide accurate information about STI prevention methods.
Correct Answer is A
Explanation
A. Moving the client to a private room, keeping the door closed, and initiating droplet
precautions are important to prevent potential transmission of COVID-19, especially considering the client's symptoms and recent loss of taste and smell, which are associated with COVID-19.
B. Assisting the client to recall everyone possibly exposed since onset of symptoms is relevant for contact tracing but does not address immediate infection control measures for the suspected case.
C. Placing the nasal swab specimen for COVID-19 directly into a biohazard bag is a correct laboratory procedure but does not address immediate infection control measures for the
suspected case.
D. Teaching the client to wear a mask, hand wash, and social distance to prevent spreading the virus is important for preventing transmission, but in this scenario, immediate isolation
precautions are necessary until a COVID-19 diagnosis is confirmed or ruled out.
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