A nurse is planning care for an older adult client who has manifestations of dehydration. Which of the following interventions should the nurse include in the plan?

Offer oral fluids every 4 hr.

Monitor the client's hemoglobin level.

Check urinary output status every 4 hr.

Administer furosemide IV.

Answer and Explanation

The Correct Answer is C

A. Offer oral fluids every 4 hr: Offering oral fluids every 4 hours may not be frequent enough for a client with dehydration. The nurse should encourage the client to drink fluids more regularly (e.g., every 1-2 hours) to help prevent further dehydration.

B. Monitor the client's hemoglobin level: Monitoring the hemoglobin level is not a priority intervention for managing dehydration. The focus should be on fluid replacement and monitoring indicators of dehydration, such as urine output.

C. Check urinary output status every 4 hr: Monitoring urinary output regularly is crucial for assessing hydration status. Dehydration often leads to reduced urine output, and it is important to check for changes in output to adjust fluid intake and assess the effectiveness of interventions.

D. Administer furosemide IV: Furosemide is a diuretic, which increases urine output. Administering it to a client who is dehydrated would worsen their dehydration and is contraindicated. The focus should be on rehydration, not on further increasing fluid loss.

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Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

A. "You will take medication for this condition for several months!": Hypothyroidism typically requires lifelong thyroid hormone replacement therapy, not just for several months. The client should be informed that they will need to take the medication for the long term.

B. "This condition can cause you to gain weight.": Weight gain is a common symptom of hypothyroidism due to a slowed metabolism. The nurse should include this in the teaching to help the client understand how the condition may affect their weight.

C. "We will perform laboratory tests to monitor the effect of your medication.": Regular monitoring of thyroid function tests (such as TSH and T4 levels) is essential to ensure that the medication is effective and that the dosage is appropriate.

D. "You might notice that you perspire more with this condition.": Hypothyroidism typically causes cold intolerance and reduced perspiration, not increased perspiration. This statement is incorrect and should not be included in the teaching.

E. "You will need to eat a high-fiber diet to prevent complications of this condition.": Hypothyroidism can lead to constipation due to a slowed metabolism. A high-fiber diet is recommended to help prevent constipation and promote regular bowel movements.

A. Use large-print books. B. Avoid standing on chairs or ladders. C. Stay away from flickering lights. D. Minimize unnecessary room changes.

Correct Answer is B

Explanation

A. Use large-print books: Meniere’s disease primarily affects balance and hearing. Large-print books are not specifically necessary for managing Meniere’s disease, although they may benefit clients with vision impairment.

B. Avoid standing on chairs or ladders: Meniere's disease can cause vertigo, which increases the risk of falls. The nurse should advise the client to avoid activities that could lead to falls, such as standing on chairs or ladders, especially during episodes of vertigo.

C. Stay away from flickering lights: Flickering lights may trigger migraines or seizures in some individuals but are not specifically related to Meniere’s disease, avoiding flickering lights is not a primary focus for managing the disease.

D. Minimize unnecessary room changes: While minimizing sudden movements or changes in the environment can be helpful for maintaining balance, "minimizing unnecessary room changes" is not a key instruction for managing Meniere's disease.

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A nurse is planning care for an older adult client who has manifestations of dehydration. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client who has Meniere's disease. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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