Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?
Use salt tablets after strenuous exercise.
Monitor daily urine output volume.
Drink plenty of water whenever thirsty.
Review food labels for sodium content.
Review food labels for sodium content.
The Correct Answer is D
D. The correct instruction to include in a discharge teaching plan for an adult client with hypernatremia is to review food labels for sodium content. Hypernatremia is a condition characterized by high levels of sodium in the blood, and it is often due to fluid loss rather than excessive sodium intake.
A. Hypernatremia is characterized by elevated levels of sodium in the blood, and reducing sodium intake is typically part of the treatment plan. Instructing the client to use salt tablets would exacerbate the hypernatremia and could lead to further complications.
B. This instruction is not directly related to managing hypernatremia. While monitoring urine output is important for assessing hydration status and kidney function, it may not specifically address the underlying cause of hypernatremia.
C. Hypernatremia is often caused by dehydration or inadequate water intake, leading to elevated sodium levels in the blood. Therefore, hydrating is an important instruction but not the most important.
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Related Questions
Correct Answer is B
Explanation
B. Isolating the client is crucial to minimize exposure to individuals who are not wearing proper PPE and to reduce the risk of spreading the virus within the healthcare setting and among family members.
A. is important for informing family members about potential exposure and monitoring for symptoms, but it is not as immediate as isolating the client to prevent further transmission.
C. is also important for educating the client on preventive measures to reduce the spread of the virus, but isolating the client takes precedence in the immediate management of potential COVID-19 cases.
D. is important for public health surveillance and contact tracing efforts, but it is not as immediate as isolating the client and educating them about preventive measures.
Correct Answer is C
Explanation
C. The client's weak cough effort and use of accessory muscles to breathe suggest the presence of retained respiratory secretions, which can impair breathing and lead to further respiratory compromise. Suctioning to clear secretions from the airway can help improve air exchange and alleviate respiratory distress.
A. The client's primary issue appears to be respiratory distress rather than fever.
B. Offering pain relief is important for overall comfort but it is not be the most immediate intervention needed to address the client's respiratory distress.
D. Arterial blood gases may provide valuable information but they may not be the most immediate intervention needed to address the client's respiratory distress.
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