The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?
Provide water for a client diagnosed with chronic kidney disease
Instruct the client on appropriate fluid restrictions
Measure the client's output from the indwelling catheter
Record the client’s intake and output in the EMR
The Correct Answer is B
A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.
B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.
C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.
D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diphenhydramine: An antihistamine used for motion sickness, but not first-line for severe nausea and dehydration.
B. Famotidine: A histamine-2 blocker used for acid reflux, not nausea control.
C. Omeprazole: A proton pump inhibitor for acid suppression, not for nausea and vomiting.
D. Ondansetron: Ondansetron (Zofran) is a serotonin (5-HT3) receptor antagonist that is highly effective for nausea and vomiting, especially in dehydration and severe vomiting.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"C"}}
Explanation
|
Solutions |
Hypotonic |
Isotonic |
Hypertonic |
|
0.45% sodium chloride |
✅ |
||
|
0.9% sodium chloride |
✅ |
||
|
Lactated Ringers |
✅ |
||
|
Albumin |
✅ |
0.45% Sodium Chloride (Hypotonic): Has lower osmolarity than blood, causing fluid to shift into cells, making them swell. Used for dehydration and intracellular rehydration.
0.9% Sodium Chloride (Isotonic): Has the same osmolarity as blood, so it stays in the intravascular space. Used for fluid resuscitation (hypovolemia, dehydration, shock).
Lactated Ringers (Isotonic): Contains electrolytes (Na+, K+, Ca2+, lactate), making it ideal for burns, surgery, and trauma patients. Maintains intravascular volume without fluid shifts.
Albumin (Hypertonic): Large protein that pulls fluid into the intravascular space (colloid osmotic pressure). Used for hypovolemia, burns, or severe hypoalbuminemia.
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