Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?
Use salt tablets after strenuous exercise.
Monitor daily urine output volume.
Drink plenty of water whenever thirsty.
Review food labels for sodium content.
Review food labels for sodium content.
The Correct Answer is D
D. The correct instruction to include in a discharge teaching plan for an adult client with hypernatremia is to review food labels for sodium content. Hypernatremia is a condition characterized by high levels of sodium in the blood, and it is often due to fluid loss rather than excessive sodium intake.
A. Hypernatremia is characterized by elevated levels of sodium in the blood, and reducing sodium intake is typically part of the treatment plan. Instructing the client to use salt tablets would exacerbate the hypernatremia and could lead to further complications.
B. This instruction is not directly related to managing hypernatremia. While monitoring urine output is important for assessing hydration status and kidney function, it may not specifically address the underlying cause of hypernatremia.
C. Hypernatremia is often caused by dehydration or inadequate water intake, leading to elevated sodium levels in the blood. Therefore, hydrating is an important instruction but not the most important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Pancreatitis is often associated with elevated serum amylase levels due to pancreatic inflammation. Therefore, this combination of clinical symptoms and laboratory findings is valuable in assessing the severity and confirming the diagnosis of pancreatitis.
A. While these are important clinical findings, they are not specific to pancreatitis and may not provide definitive information about the severity or cause of the condition.
C. Chronic constipation and serum gastrin levels are not typically associated with pancreatitis.
D. Serum Helicobacter pylori (H. pylori) antibody results and urine output amounts are not directly related to pancreatitis. H. pylori infection is associated with peptic ulcers and gastritis but not typically with pancreatitis.
Correct Answer is D
Explanation
D. Sputum culture is the gold standard diagnostic test for confirming the diagnosis of tuberculosis. It involves culturing the bacteria from sputum samples to identify the presence of Mycobacterium tuberculosis, the causative organism of TB.
A. The Hemoccult test is used to detect occult (hidden) blood in stool samples, not sputum.
B. Chest x-ray or CT imaging is commonly used in the diagnosis of tuberculosis. However, imaging findings alone are not sufficient to confirm the diagnosis of TB.
C. The PPD skin test is a screening test for tuberculosis infection. A positive PPD test indicates exposure to TB bacteria but does not distinguish between latent TB infection and active TB disease.
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