The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?

"If I stop sweating should call 911 or get to the Emergency Department quickly.”

"If this happens in the future, lying in cool water would be beneficial.”

“Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.”

"Drinking water is the best way to improve sodium intake.”

Answer and Explanation

The Correct Answer is D

A. "If I stop sweating, I should call 911 or get to the Emergency Department quickly.” An absence of sweating can indicate heat stroke, a medical emergency.

B. "If this happens in the future, lying in cool water would be beneficial.” Cooling measures like cold baths, ice packs, and shade help reduce body temperature.

C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” Salt tablets can irritate the stomach and cause nausea, vomiting, and hypernatremia.

D. "Drinking water is the best way to improve sodium intake.” While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia, leading to confusion, seizures, or coma. Electrolyte-containing drinks (e.g., sports drinks, oral rehydration solutions) are better choices.

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Correct Answer is B

Explanation

A. Fluid will be pushed into the interstitial spaces. Hypertonic solutions draw water into the bloodstream, not into tissues.

B. Fluid will be pulled out of the cells and into the bloodstream: Hypertonic solutions (e.g., 3% NaCl, D10W) have a higher osmolarity than blood plasma. This pulls fluid from cells into the intravascular space, causing cell shrinkage and increasing blood volume.

C. Fluid will be pushed out of the bloodstream into extravascular spaces. This describes a hypotonic solution’s effect.

D. Fluid will be pulled out of the bloodstream into the cells. This describes an isotonic or hypotonic effect.

A. "The microwave in my kitchen can warm the solution before I use it.” B. "The fluid from my abdomen will be clear or slightly yellow.” C. "The catheter can become infected even with sterile precautions.” D. "The volume of the output solution should be greater than the input solution."

Correct Answer is A

Explanation

A. "The microwave in my kitchen can warm the solution before I use it." Heating dialysis fluid in a microwave is dangerous as it can cause uneven heating and burns inside the peritoneal cavity. Dialysis solutions should be warmed using a heating pad or a specialized warmer.

B. "The fluid from my abdomen will be clear or slightly yellow." Normal peritoneal dialysis effluent should be clear. Cloudy effluent indicates infection (peritonitis).

C. "The catheter can become infected even with sterile precautions." Peritoneal dialysis catheters have a high risk of infection, even with proper care.

D. "The volume of the output solution should be greater than the input solution." More fluid should come out than goes in, as excess fluid and toxins are being removed.

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The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?

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Naxlex Comprehensive Predictor Exams

What happens when a hypertonic IV solution is administered to a client?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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