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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Notifying the provider only after surgery misses the opportunity to clarify and honor the client’s wishes beforehand.
B. Administering preoperative medications without addressing the client’s wishes could lead to ethical and legal issues.
C.The nurse should discuss and clarify the client’s wishes regarding resuscitation, document them clearly, and ensure the healthcare team is informed so that the client’s autonomy and advance directives are respected.
D. Verbally reporting to the OR supervisor is important but insufficient without proper documentation and discussion with the healthcare team and client.

A. lack of power B. fear C. sexual impairment D. self-harm risk

Correct Answer is D

Explanation

A. Lack of power refers to feelings of helplessness but does not directly address the expressed desire to no longer live.
B. Fear may be present but is not the primary concern expressed.
C. Sexual impairment is unrelated to the client’s statement about meaning and desire to live.
D. The client’s statement indicates suicidal ideation, making self-harm risk the most appropriate nursing concern to address.

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A client is taking a diuretic that increases urinary output. What nursing concern is appropriate to base an educational plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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