A older adult client admitted for dehydration is being discharged. In which way should the nurse instruct the client to maintain proper hydration?

Drink sixteen to twenty 12-oz glasses of fluid (5,760 to 7,200 mL) per day

Drink six to eight 8-oz glasses of fluid (1,500 to 2,000 mL) per day

Drink one to two 4-oz glasses of fluid (120 to 240 mL) per day

Drink five to six 6-oz glasses of fluid (900 to 1,080 mL) per day

Answer and Explanation

The Correct Answer is B

A. Drinking sixteen to twenty 12-oz glasses (5,760 to 7,200 mL) is excessive and could lead to fluid overload, especially in older adults who may have compromised cardiac or renal function.

B. Drinking six to eight 8-oz glasses (1,500 to 2,000 mL) per day aligns with general hydration recommendations for older adults. This volume supports adequate hydration without risking overload and helps maintain normal physiological functions.

C. One to two 4-oz glasses (120 to 240 mL) per day is insufficient for maintaining proper hydration and could lead to recurrent dehydration.

D. Five to six 6-oz glasses (900 to 1,080 mL) per day is slightly below the recommended intake and may not meet the hydration needs of most older adults, especially after dehydration.

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Correct Answer is D

Explanation

A. based on the conversation with the patient, the patient is unhappy with care: This statement includes the nurse’s interpretation rather than the patient’s exact words and feelings, which is less objective for documentation.

B. upon interaction with the patient, the patient seems angry today: This phrase is subjective and vague, lacking specific patient statements or observable behaviors, making it less precise for clinical records.

C. the patient is angry, unsatisfied with care, and wants to go home: This summarizes the nurse’s opinion rather than providing direct quotes or factual observations, which is not ideal for accurate documentation.

D. patient states, “I hate this place. I want to go home. No one listens to me, and my doctor has not been in to see me today.”: This is a direct quote from the patient, providing clear, objective documentation of the patient’s feelings and statements.

A. lung sounds B. skin turgor C. temperature D. thirst and dry mouth.

Correct Answer is A

Explanation

A. lung sounds: Monitoring lung sounds is essential during IV fluid administration to detect signs of fluid overload, such as crackles, which may indicate pulmonary edema and require immediate intervention. This is especially critical in patients with compromised cardiac or renal function.

B. skin turgor: While skin turgor helps assess hydration status, it changes more slowly and does not indicate acute fluid shifts or overload during rapid fluid administration. It is more useful for evaluating chronic hydration status rather than immediate response to IV therapy.

C. temperature: Temperature monitoring is not a direct or sensitive indicator of fluid balance or the risk of fluid overload. Fever or hypothermia may signal infection or other systemic issues but does not reflect intravascular volume status during fluid replacement.

D. thirst and dry mouth: These are subjective signs of dehydration but are not reliable for monitoring the effects or complications of IV fluid therapy once it is initiated. Patient perception can vary and may not correlate with actual fluid status or ongoing needs.

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A older adult client admitted for dehydration is being discharged. In which way should the nurse instruct the client to maintain proper hydration?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A patient is receiving a bolus of IV fluids for dehydration. During administration of the solution, it is most important for the nurse to carefully monitor:

Correct Answer is A

Explanation

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