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 A
Explanation
A. Isoniazid is an antitubercular medication commonly used in the treatment of active tuberculosis (TB). One of the primary goals of TB treatment is to reduce the symptoms associated with the infection, such as cough and sputum production.
B. While weight loss and decreased appetite can be symptoms of active tuberculosis, the goal of treatment with isoniazid is to improve symptoms and promote recovery.
C. A positive sputum smear and culture would indicate ongoing TB infection or treatment failure, rather than the effectiveness of isoniazid therapy.
D. Vertigo (dizziness) and tinnitus (ringing in the ears) are not typical side effects or outcomes associated with isoniazid therapy.
Correct Answer is A
Explanation
A. A hydrocolloidal gel dressing can be beneficial as it maintains moisture and supports autolytic debridement. This type of dressing also helps in protecting the wound from external contaminants and can be left in place for several days, depending on the level of exudate.
B. Replacing the gauze with a transparent dressing, which is typically used for minimal to moderate exudating wounds, could dry out the wound or those that are not designed for significant granulation tissue
C. Leaving the dressing off is not advisable as it exposes the wound to potential infection and delays healing.
D. Increasing the frequency of dressing changes is not specified as a standard treatment and could potentially disrupt the healing process.
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