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 B
Explanation
A. Aspiration: While aspiration precautions may be necessary in certain situations, elevated parathyroid hormone levels are not typically associated with an increased risk of aspiration.
B. Falls: Elevated parathyroid hormone levels can lead to hypercalcemia, which may cause weakness, confusion, and increased risk of falls due to muscle weakness and altered mental status.
C. Suicide: While mental health assessment and intervention may be important for overall patient care, elevated parathyroid hormone levels do not directly increase the risk of suicide.
D. Hypothermia: Elevated parathyroid hormone levels are not typically associated with an increased risk of hypothermia. Hypercalcemia may lead to dehydration and electrolyte
imbalances, but hypothermia is not a common complication.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
I can show my child a movie or read him a book during the procedure.
Correct Answer: Understanding
Rationale: Echocardiograms are non-invasive and do not require the patient to remain still, so activities like watching a movie or reading a book can be comforting and are often encouraged to help the child stay calm during the procedure.
The echocardiogram is a painful procedure.
Correct Answer: No understanding
Rationale: Echocardiograms are painless tests that use ultrasound (sound waves) to capture images of the heart. It involves no needles or incisions, and there should be no pain associated with the procedure itself.
Echocardiography uses soundwaves to produce images.
Correct Answer: Understanding
Rationale: Echocardiography, indeed, uses high-frequency sound waves to create detailed images of the heart and its structures, allowing for the assessment of heart function and the detection of abnormalities.
The echocardiogram will produce an image of the structure of the heart.
Correct Answer: Understanding
Rationale: The primary purpose of an echocardiogram is to provide a visual representation of the heart's structure and function, including the chambers, valves, and major blood vessels, to aid in diagnosis and monitoring of heart conditions.
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