The promotion of an adequate fluid balance which prevents medical complications is defined as?

Overhydration

Dehydration

Hypernatremia

Hydration

Answer and Explanation

The Correct Answer is D

Choice A reason: Overhydration is not the definition of the promotion of an adequate fluid balance, but rather a condition where the body has excess fluid volume, which can cause medical complications, such as edema, hyponatremia, or heart failure.
Choice B reason: Dehydration is not the definition of the promotion of an adequate fluid balance, but rather a condition where the body has insufficient fluid volume, which can cause medical complications, such as hypotension, tachycardia, or kidney failure.
Choice C reason: Hypernatremia is not the definition of the promotion of an adequate fluid balance, but rather a condition where the body has excess sodium concentration in the blood, which can cause medical complications, such as thirst, confusion, or seizures.
Choice D reason: Hydration is the definition of the promotion of an adequate fluid balance, as it refers to the maintenance of the optimal amount and distribution of fluid in the body, which can prevent medical complications, such as dehydration, electrolyte imbalance, or infection.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: This is incorrect because providing antiseptic mouthwash (such as Listerine) for the patient can worsen xerostomia, or dry mouth. Antiseptic mouthwash can contain alcohol, which can dry out the oral mucosa and reduce saliva production. Saliva is important for lubricating the mouth, preventing infections, and facilitating chewing and swallowing. Therefore, antiseptic mouthwash should be avoided or used sparingly in patients with xerostomia.

Choice B reason: This is correct because encouraging the patient to brush and floss teeth regularly can help prevent dental caries, gingivitis, and periodontitis, which are common complications of xerostomia. Xerostomia can increase the risk of oral infections and tooth decay, as saliva helps wash away food particles, bacteria, and plaque. Therefore, oral hygiene is essential for patients with xerostomia.

Choice C reason: This is correct because encouraging the patient to drink water frequently can help moisten the mouth and relieve the discomfort of xerostomia. Water can also help flush out food debris and bacteria, and prevent dehydration, which can exacerbate xerostomia. Therefore, water intake is beneficial for patients with xerostomia.

Choice D reason: This is correct because providing saliva substitutes can help mimic the functions of natural saliva and improve the symptoms of xerostomia. Saliva substitutes are artificial saliva products that contain water, electrolytes, and lubricants, such as glycerin, carboxymethylcellulose, or xylitol. They can be applied as sprays, gels, rinses, or lozenges, and can help lubricate the mouth, prevent infections, and facilitate chewing and swallowing. Therefore, saliva substitutes are useful for patients with xerostomia.

A. FACE pain rating scale B. OLDCART-based assessment tool C. PAINAD scale D. 0 to 10 numeric pain scale E. None of the above

Correct Answer is C

Explanation

Choice A reason: FACE pain rating scale is not the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the patient's ability to match their pain intensity to a series of facial expressions. The patient may not be able to understand or use the scale appropriately.

Choice B reason: OLDCART-based assessment tool is not the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the patient's ability to provide detailed information about the onset, location, duration, characteristics, aggravating factors, relieving factors, and treatment of their pain. The patient may not be able to recall or communicate this information effectively.

Choice C reason: PAINAD scale is the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the nurse's observation of the patient's behavior and physiological responses to pain. The scale consists of five items: breathing, vocalization, facial expression, body language, and consolability. Each item is scored from 0 to 2, and the total score ranges from 0 to 10. A higher score indicates more pain.

Choice D reason: 0 to 10 numeric pain scale is not the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the patient's ability to rate their pain intensity on a scale from 0 (no pain) to 10 (worst possible pain). The patient may not be able to comprehend or use the scale correctly.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain.

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The promotion of an adequate fluid balance which prevents medical complications is defined as?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult reports symptoms of xerostomia. Which of the following interventions should the nurse implement for this patient? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

For a cognitively impaired patient who cannot accurately report pain, which assessment tool would be most useful?

Correct Answer is C

Explanation

During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

Which of the following is a true statement about skin care for older adults?

The nurse uses comfort measures to enhance an older adult's pharmacological pain management. Which of the following would be most helpful for the nurse to use to identify the relationships between the comfort measures, activity, and pharmacotherapy, and the older adult's pain level?

In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?

You are taking care of an older female adult with severe cognitive impairments. She is unable to tell you when she needs to urinate and, as a result, is often incontinent. What do you realize she is experiencing?

Which of the following statements is true about Parkinson disease (PD)?

An older adult man diagnosed with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?

In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?