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 A
Explanation
Choice A rationale
Moderate sedation is commonly used for colonoscopies. It provides adequate comfort and relaxation for the patient during the procedure, while allowing them to breathe on their own.
Choice B rationale
Local anesthesia is not typically used for colonoscopies. It numbs a specific area of the body and would not provide sufficient comfort or relaxation for a colonoscopy.
Choice C rationale
Regional anesthesia, such as spinal or epidural anesthesia, is not typically used for colonoscopies. It blocks pain in a larger area of the body than local anesthesia, but is more commonly used for surgeries rather than diagnostic procedures like colonoscopies.
Choice D rationale
General anesthesia is rarely used for colonoscopies. It causes complete unconsciousness and is typically reserved for more invasive or lengthy surgical procedures.
Correct Answer is A
Explanation
Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale
The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
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