A client is taking a diuretic that increases urinary output. What nursing concern is appropriate to base an educational plan?
decreased fluid volume risk
altered urinary elimination
altered skin integrity
urinary retention
The Correct Answer is A
A. Diuretics increase urine output, which can lead to decreased fluid volume (dehydration) and electrolyte imbalances. Teaching the client to monitor fluid intake and signs of dehydration is important.
B. Diuretics do not cause altered urinary elimination in the sense of retention; they actually increase elimination.
C. Altered skin integrity is not a direct concern related to diuretic use.
D. Urinary retention is unlikely with diuretic therapy, which promotes increased urine output.
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Related Questions
Correct Answer is A
Explanation
A. Public law regulates the practice of nursing because it governs the relationship between individuals and the government. This includes statutory laws, such as nurse practice acts, which are enacted by legislative bodies to define and regulate nursing practice.
B. Civil law deals with disputes between individuals or organizations, such as malpractice claims, but it does not regulate the practice itself.
C. Common law is developed through court decisions over time and may influence nursing through legal precedents, but it does not directly regulate nursing practice.
D. Criminal law involves offenses against the state or public, such as theft or assault. While nurses may be subject to criminal law if they commit a crime, criminal law does not regulate the profession itself.
Correct Answer is C
Explanation
A. Hyperkalemia does not directly cause bleeding or anemia.
B. Hyperkalemia is not associated with increased risk of infection.
C. Hyperkalemia increases the risk of cardiac problems, such as arrhythmias, which can be life-threatening, especially during surgery. Elevated potassium levels affect the electrical conduction system of the heart.
D. While potassium is involved in fluid and electrolyte balance, hyperkalemia itself is more critical for cardiac function than general fluid imbalances.
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