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 D

Explanation

A. Sedating clients with tranquilizers can increase fall risk due to dizziness and impaired cognition.
B. Allowing a client to use the bathroom independently without assessment may increase fall risk if the client requires assistance.
C. Maintaining a high bed position is unsafe and increases fall risk; beds should be kept in the lowest position to prevent injury from falls.
D. Involving family members in care provides additional supervision and support, promoting safety and reducing the need for restraints.

A. Don't follow through with the order, and delete it from the record B. Inform the provider, to ensure safety for the client, it must be read back C. Proceed with the order since the nurse heard it the first time D. Ask the secretary to call the provider back and take the order

Correct Answer is B

Explanation

A. Not following the order and deleting it is inappropriate and could cause legal issues.
B. The nurse must insist on the read-back to ensure the order is accurate and protect client safety, despite the provider’s impatience.
C. Proceeding without confirmation risks errors and compromises safety.
D. Delegating the order to the secretary is unprofessional and unsafe; the nurse must communicate directly with the provider.

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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 D

Explanation

Correct Answer is B

Explanation

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