The nurse is assessing an elder client for hydration. What is the best determination of hydration in this client?
Serum sodium levels
BUN
Urine osmolality
Urine color
The Correct Answer is C
Choice A reason: Serum sodium levels are not the best determination of hydration in this client, as they can be affected by other factors, such as fluid intake, fluid loss, kidney function, or medication use. Serum sodium levels can be normal, high, or low in a dehydrated or overhydrated client, depending on the cause and type of the fluid imbalance.
Choice B reason: BUN stands for blood urea nitrogen, which is a waste product of protein metabolism that is excreted by the kidneys. BUN is not the best determination of hydration in this client, as it can be influenced by other factors, such as protein intake, liver function, or muscle breakdown. BUN can be high or low in a dehydrated or overhydrated client, depending on the cause and type of the fluid imbalance.
Choice C reason: Urine osmolality is the best determination of hydration in this client, as it measures the concentration of solutes in the urine, which reflects the ability of the kidneys to adjust the urine output according to the fluid status. Urine osmolality can indicate the degree of dehydration or overhydration in a client, as it increases or decreases in response to the fluid balance.
Choice D reason: Urine color is not the best determination of hydration in this client, as it can be affected by other factors, such as food, medication, or infection. Urine color can be dark or light in a dehydrated or overhydrated client, depending on the cause and type of the fluid imbalance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A reason: Use of a commode close by to where the client spends most of his time can reduce the distance and time required for the client to reach the toilet, and thus prevent accidents and embarrassment. It can also promote the client's independence and dignity.
Choice B reason: Development of a toileting schedule can help the client to establish a routine and habit of voiding at regular intervals, and thus prevent the bladder from becoming too full or overactive. It can also reduce the risk of urinary tract infections and skin breakdown.
Choice C reason: Use of an external catheter is not recommended for older adults with dementia, as it can cause irritation, infection, and obstruction of the urinary tract. It can also increase the client's confusion and agitation, and interfere with his mobility and comfort.
Choice D reason: Bladder diary to be completed by the client's wife is not a direct intervention to manage the incontinence, but rather a tool to assess the pattern and severity of the problem. It can help the nurse to identify the possible causes and triggers of the incontinence, and to evaluate the effectiveness of the interventions. However, it may not be feasible or reliable for the client's wife to complete the diary, as she may have other responsibilities or difficulties in observing and recording the client's urinary habits.
Correct Answer is D
Explanation
Choice A reason: ASA (aspirin) is not the best choice, as it can cause bleeding, ulcers, and allergic reactions in some older adults. ASA is also metabolized by the liver, which may be affected by chronic kidney disease.
Choice B reason: Meperidine (Demerol) is not the best choice, as it is a narcotic analgesic that can cause respiratory depression, sedation, and dependence in older adults. Meperidine is also excreted by the kidneys, which may be impaired by chronic kidney disease.
Choice C reason: Ibuprofen (Advil, Motrin) is not the best choice, as it is a nonsteroidal anti-inflammatory drug (NSAID) that can cause kidney damage, fluid retention, and hypertension in older adults. Ibuprofen is also contraindicated in patients with chronic kidney disease.
Choice D reason: Acetaminophen (Tylenol) is the best choice, as it is a mild analgesic that can relieve pain without causing significant side effects in older adults. Acetaminophen is also safe to use in patients with chronic kidney disease, as long as the dose is adjusted according to the liver function.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the best choice for treating mild back pain in an older adult who has chronic kidney disease.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.