The nurse is caring for a client who received a new diet prescription from the physician for nothing by mouth (NPO) except ice chips.
Which actions would the nurse take to alleviate the effects of dehydration? Select all that apply
Observe mucous membranes for dryness
Provide frequent oral care with moist swabs
Offer the client small sips of water
Increase the rate of intravenous (IV) fluids
Correct Answer : A,B,D
Choice A rationale
Observing mucous membranes for dryness can indicate dehydration.
Choice B rationale
Providing frequent oral care with moist swabs can help alleviate the discomfort of a dry mouth due to NPO status.
Choice C rationale
Offering the client small sips of water is not appropriate as the client is on a diet of nothing by mouth (NPO) except ice chips.
Choice D rationale
Increasing the rate of intravenous (IV) fluids can help prevent dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Broccoli is a high-fiber food, and while it is generally healthy, it may not be well-tolerated by individuals with Crohn’s disease, especially during a flare-up. High-fiber foods can cause bloating, gas, and abdominal pain in some people with Crohn’s disease.
Choice B rationale
Grilled chicken breast is a good choice for individuals with Crohn’s disease. It is a lean protein source and is usually well-tolerated. Protein is important for repairing body tissues and maintaining a healthy immune system.
Choice C rationale
A vanilla milkshake may not be the best choice for someone with Crohn’s disease. Dairy products can cause digestive symptoms in people who are lactose intolerant, and many people with Crohn’s disease have lactose intolerance.
Choice D rationale
Buttered popcorn is a high-fiber food and may not be well-tolerated by individuals with Crohn’s disease, especially during a flare-up. High-fiber foods can cause bloating, gas, and abdominal pain in some people with Crohn’s disease.
Correct Answer is C
Explanation
Choice A rationale
Condition A is not typically associated with a risk for vitamin deficiency. Vitamin deficiencies are usually caused by inadequate intake, poor absorption, or increased demand for vitamins.
Choice B rationale
Condition B is not typically associated with a risk for vitamin deficiency. Vitamin deficiencies are usually caused by inadequate intake, poor absorption, or increased demand for vitamins.
Choice C rationale
Condition C, also known as pernicious anemia, is associated with a risk for vitamin B12 deficiency. This condition impairs the body’s ability to absorb vitamin B12 from the gastrointestinal tract.
Choice D rationale
Condition D is not typically associated with a risk for vitamin deficiency. Vitamin deficiencies are usually caused by inadequate intake, poor absorption, or increased demand for vitamins
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