Which nursing measure should a nurse include in the care plan to encourage a client to increase fluid intake?
Placing a fresh water pitcher on the bedside table.
Offering frequent servings of preferred fluids.
Explaining the problems of inadequate intake.
Stressing the importance of drinking fluids.
The Correct Answer is B
This is because offering fluids that the client likes and in small amounts can help increase the client’s fluid intake and prevent dehydration. According to, some other nursing measures that can help improve the client’s nutritional intake are:
- Encouraging favorite foods from home, when possible.
- Providing frequent oral hygiene.
- Providing a pleasant environment during mealtime.
- Providing assistance with eating, if needed.
Choice A is wrong because placing a freshwater pitcher on the bedside table may not be enough to motivate the client to drink more fluids, especially if the client does not like plain water or has difficulty reaching for the pitcher.
Choice C is wrong because explaining the problems of inadequate intake may not be effective in changing the client’s behavior, and may even cause anxiety or resentment.
Choice D is wrong because stressing the importance of drinking fluids may also be ineffective or counterproductive, as it may sound like nagging or lecturing to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
“Have you had thoughts about killing yourself?” This is the best response because it directly assesses the client’s suicidal risk and shows empathy and concern.
The other choices are wrong because:
Choice B. “What can’t you go on anymore?” This is a vague and open-ended question that does not address the client’s immediate safety or emotional state.
Choice C. “Don’t think like that.
It’s not true!” This is a dismissive and invalidating response that does not acknowledge the client’s feelings or offer support.
Choice D. “Have you talked to your doctor about these feelings?” This is a deferring and avoiding response that does not explore the client’s situation or provide any intervention.
Correct Answer is B
Explanation
I should always have my breakfast ready to eat before injecting my morning insulin. This statement confirms that the client understands the importance of matching insulin administration with food intake to prevent hypoglycemia.
Choice A is wrong because hemoglobin A1C should be checked every 3 months, not monthly, to monitor long-term glycemic control.
Choice C is wrong because eating early and taking extra insulin later can cause fluctuations in blood glucose levels and increase the risk of complications.
Choice D is wrong because on sick days, the client should check blood sugar more
often and eat small amounts of carbohydrates to prevent hyperglycemia and ketoacidosis.
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