A nurse is caring for an older client on a medical-surgical unit.Which of the following interventions should be included in the plan of care?
Monitor the client’s hydration status.
Encourage the client to engage in physical activities.
Administer medications as prescribed.
Educate the client on dietary needs.
The Correct Answer is A
Choice A rationale
Monitoring the client’s hydration status is critical for older adults, especially those on a medical-surgical unit, to prevent dehydration, which can lead to serious complications such as renal impairment, confusion, and electrolyte imbalance.
Choice B rationale
Encouraging physical activities is beneficial but is not always feasible or safe for all older clients, especially those with certain medical conditions or mobility limitations.
Choice C rationale
Administering medications as prescribed is essential but is a standard practice for all clients and not specific to older adults' unique needs.
Choice D rationale
Educating the client on dietary needs is important but secondary to monitoring hydration, which addresses more immediate physiological needs and complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Providing articles from the Internet may not always be reliable and might overwhelm or confuse the client, especially at an emotionally sensitive time.
Choice B rationale
While reassuring the client is important, simply assuring them that the provider will explain later does not empower the client to be actively involved in their care.
Choice C rationale
Encouraging the client to write down questions helps them take an active role in their treatment planning, ensures they remember their concerns, and facilitates a more productive conversation with the provider.
Choice D rationale
Suggesting the client wait for the next appointment can increase anxiety and leave the client feeling unsupported during a critical time when they need information and emotional support.
Correct Answer is A
Explanation
Choice A rationale
A raised rash across the nose and face, known as a butterfly rash, is a classic and distinctive manifestation of systemic lupus erythematosus (SLE), often exacerbated by sunlight exposure.
Choice B rationale
Hypothermia is not a common manifestation of SLE; patients more frequently experience fevers due to inflammation and immune system dysregulation.
Choice C rationale
Weight gain is not a typical direct manifestation of SLE; patients might experience weight changes due to medications or complications but not as a primary symptom.
Choice D rationale
Muscle hyperreflexia is not associated with SLE; neurological symptoms in SLE might include seizures or cognitive dysfunction, but not hyperreflexia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.