A nurse is providing teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?

Rationale:
A. Skin warm and dry: Warm, dry skin indicates adequate circulation and fluid balance. In fluid overload, the skin is often cool and moist due to peripheral vasodilation and increased interstitial fluid. Therefore, this finding is not consistent with overhydration.

B. Respiratory rate 30/min: Tachypnea is a key indicator of fluid overload because excess fluid can accumulate in the lungs, leading to pulmonary congestion and decreased gas exchange. The body compensates by increasing the respiratory rate to improve oxygenation and remove excess carbon dioxide.

C. Heart rate 60/min: A normal heart rate suggests stable cardiovascular status. Fluid overload typically causes tachycardia as the heart works harder to manage increased circulatory volume, not a normal or bradycardic rate.

D. Tenting skin turgor: Tenting indicates dehydration, not fluid overload. In overhydration, the skin is usually taut and edematous due to excess interstitial fluid accumulation rather than loss of elasticity.

Rationale:
A. Emptying the drainage bag when it is half full: Allowing the bag to become overly full can cause backflow of urine into the bladder, increasing infection risk and disrupting drainage. Regular emptying when half full prevents tension on the tubing and maintains unobstructed urine flow.

B. Using sterile gloves when emptying the drainage bag: Sterile gloves are not required for this task. The AP should use clean gloves and maintain aseptic technique by avoiding contact with the drainage spout.

C. Keeping the drainage bag above waist level: The drainage bag should always remain below the level of the bladder to allow gravity-assisted drainage. Keeping it above waist level promotes retrograde flow of urine, which can introduce bacteria into the bladder.

D. Disconnecting the catheter from the drainage bag to empty the bag: The catheter and drainage system should remain a closed, continuous unit to prevent contamination. Disconnecting the system breaks sterility, increasing the risk of introducing pathogens.