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 A

Explanation

A. Return demonstration: The nurse demonstrates the procedure to the client and then asks the client to perform the same procedure. This allows the nurse to assess the client’s ability to correctly execute the skill and provides an opportunity for feedback and correction.

B. Role play: Role play involves the client pretending to be in a certain situation or assuming a particular role, often to practice communication or problem-solving skills. In this case, the focus is on teaching the client a physical task, not engaging in a simulated scenario.

C. Discussion: Discussion is a verbal exchange where the nurse provides information and clarifies any doubts the client may have. While this is an important strategy for knowledge transfer, it does not involve the client physically practicing the procedure.

D. Questions and answer: A question-and-answer format helps to assess understanding and clarify misconceptions. However, it does not provide the client with the opportunity to demonstrate their ability to perform the task.

A. Teaching about adhering to a low-sodium diet B. Assessing for risk factors for heart disease C. Screening for tuberculosis D. Screening for breast cancer every 5 years

Correct Answer is A

Explanation

A. Teaching about adhering to a low-sodium diet: This is tertiary prevention because it aims to manage an existing condition—heart failure—and prevent its complications or recurrence. Educating the client about dietary changes helps reduce fluid overload and risk of readmission.

B. Assessing for risk factors for heart disease: This is considered primary prevention, as it focuses on identifying and addressing potential causes of disease before symptoms occur. It is not appropriate for someone who already has a diagnosed condition.

C. Screening for tuberculosis: Tuberculosis screening is a form of secondary prevention aimed at early detection of disease in asymptomatic individuals. It does not apply to managing an existing chronic illness like heart failure.

D. Screening for breast cancer every 5 years: This is secondary prevention used for early disease detection in people without symptoms. It does not represent managing or preventing worsening of a diagnosed condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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