A nurse is providing education to an older adult patient about preventing osteoporosis. Which of the following recommendations should the nurse make?

Choice A rationale

Administering a laxative would not be beneficial for a patient with hypernatremia. Laxatives can cause diarrhea, which can lead to further fluid loss and exacerbate the hypernatremia.

Choice B rationale

Administering a potassium supplement would not address the issue of hypernatremia. Hypernatremia is an excess of sodium in the blood, not a deficiency of potassium.

Choice C rationale

Restricting sodium intake is a key intervention for managing hypernatremia. This can help reduce the amount of sodium in the body and bring the sodium levels back to normal.

Choice D rationale

Restricting fluid intake would not be recommended for a patient with hypernatremia. In fact, increasing fluid intake is often part of the treatment plan for hypernatremia to help dilute the excess sodium in the blood.

Condition: The client is most likely experiencing B. Acute Renal Failure. This is suggested by the client’s reported anuria (absence of urine), erythema around the arteriovenous fistula (AVF) site, and the CT scan showing distention with fluid and gas in the small intestine.

Action: The nurse should take the following actions to address this condition:

• A. Administer IV fluids as prescribed: This can help manage the client’s hydration and electrolyte balance.
• E. Administer pain medication as prescribed: This can help manage any discomfort the client may be experiencing.

Parameter: The nurse should monitor the following parameters to assess the client’s progress:

• A. Monitor blood pressure: Monitoring blood pressure is crucial in patients with acute renal failure as both hypotension and hypertension can occur.
• E. Monitor urine output: This is a key indicator of kidney function and should be closely monitored. Changes in urine output can provide early signs of improvement or deterioration in the client’s condition.