A client is taking a diuretic that increases her urinary output.
What would be an appropriate nursing diagnosis on which to base an educational plan?

Choice A rationale

Performing nursing tasks quickly might compromise the quality and thoroughness of care. Unconscious patients still require careful and meticulous attention to their needs, and rushing could lead to errors or omissions in care.

Choice B rationale

Discouraging family members from touching an unconscious patient can be detrimental to the patient's well-being. Even in an unconscious state, patients may benefit from the familiar touch and presence of loved ones, which can provide comfort and potentially aid in sensory processing.

Choice C rationale

Turning the television to a loud volume is unlikely to be beneficial for an unconscious patient and could be overstimulating or even distressing. Sensory stimulation for unconscious patients should be carefully considered and usually involves gentle, controlled inputs rather than loud, indiscriminate noise.

Choice D rationale

Explaining procedures to an unconscious patient in a normal tone of voice is an appropriate action. Although the patient may not consciously understand, they may still have some level of auditory processing. Speaking calmly and explaining actions can also provide a sense of respect and dignity for the patient. .

Choice A rationale

Creating a plan of care for a client recovering from a stroke requires comprehensive assessment, synthesis of complex data, and the establishment of nursing diagnoses and interventions. This falls within the scope of practice of a registered nurse who has the education and expertise in complex patient management.

Choice B rationale

Assessing a pressure injury involves observing and documenting wound characteristics. While an RN may perform this, an LVN, under the supervision of an RN, can also contribute to this task by collecting and reporting data about the wound.

Choice C rationale

Providing oral suctioning is a basic nursing skill that can be performed by both RNs and LVNs, following appropriate training and established protocols, to maintain airway patency for a client with pneumonia.

Choice D rationale

Administering internal feedings through a nasogastric tube is a task that can be delegated to an LVN who has received specific training and demonstrated competency, under the supervision of an RN, provided the client is stable and the feeding protocol is well-established.

Choice E rationale

Inserting a urinary catheter can be performed by both RNs and LVNs who have received the necessary education, training, and demonstrated competency in this invasive procedure, according to facility policies and state regulations.