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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Staff visits" is not a standard term for this activity.
B. Interdisciplinary referrals involve consulting other health professionals, not group nurse visits.
C. Nursing care conferences are meetings where nurses discuss care plans, not individual client visits.
D. Nursing care rounds involve nurses visiting clients together at the beginning of each shift to assess and discuss care needs.
Correct Answer is B
Explanation
A. While some enteric-coated capsules should not be opened, this Answer is too limited and not as universally applicable as option B.
B. Enteric-coated drugs should not be chewed or crushed because the coating is designed to protect the drug from stomach acid and to ensure it is absorbed in the intestines. Chewing or crushing it would destroy this protective barrier.
C. Not all enteric-coated medications are available in liquid form, so this is not a reliable or general instruction for clients.
D. Cutting enteric-coated drugs into smaller pieces would compromise the coating, just like crushing or chewing, and should be avoided.
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