A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

"I will put beverages in large containers to give the appearance of drinking a lot.”.

"I should consume most of the fluid during the evening.”.

"I will make a list of my favorite beverages.”.

"I will not add ice cream to the amount of fluid intake.”.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C: "I will make a list of my favorite beverages."

Choice A rationale: Stating that they will put beverages in large containers to give the appearance of drinking a lot demonstrates a lack of understanding of fluid restriction guidelines. It focuses on the appearance rather than the actual fluid intake limitation. This statement does not reflect an understanding of the need to limit fluids in acute kidney disease.

Choice B rationale: Consuming most fluids during the evening is not recommended for clients with acute kidney disease as it may lead to discomfort, nighttime urination, and fluid overload. This statement does not demonstrate an understanding of the importance of spreading fluid intake throughout the day.

Choice C rationale: Making a list of favorite beverages indicates the client's understanding of fluid restrictions. This approach can help the client prioritize their preferred beverages while staying within their prescribed fluid allowance. It shows that the client is aware of the need to be selective in their fluid intake.

Choice D rationale: Although avoiding ice cream is an appropriate action due to its contribution to fluid intake, this statement alone does not necessarily indicate a comprehensive understanding of fluid restrictions. The client must also be aware of the importance of monitoring all sources of fluid intake, including other foods and beverages.

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Correct Answer is A

Explanation

Choice A rationale:
An increased WBC count with increased bands (immature neutrophils) indicates an acute infectious process. Normal range for WBC is 4,500-11,000/mm².
Choice B rationale:
A resolving inflammatory process would typically show a decreasing WBC count.
Choice C rationale:
An allergic reaction would typically show an increase in eosinophils, not neutrophils.
Choice D rationale:
Neutropenia is a decrease in neutrophils, not an increase.

A. Output of burgundy-colored urine. B. Oral temperature of 38.2° C (100.76° F). C. An urge to void despite having an indwelling urinary catheter. D. Pulse rate of 88/min.

Correct Answer is A

Explanation

Choice A rationale:
Output of burgundy colored urine can indicate bleeding, which is a complication after TURP.
Choice B rationale:
A slight fever might be normal postoperatively. However, a high fever could indicate an infection.
Choice C rationale:
An urge to void despite having an indwelling urinary catheter can be a normal sensation following surgery.
Choice D rationale:
A pulse rate of 88/min is within the normal range (60-100/min).

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A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

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A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?