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.

Answer and Explanation

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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Correct Answer is B

Explanation

B. Lactulose works by reducing serum ammonia levels through the promotion of ammonia excretion in the feces, leading to improved cognitive function and mental status in individuals with hepatic encephalopathy.

A. Ability to ambulate independently is not a direct therapeutic response to lactulose administration for hepatic encephalopathy.

C. Lactulose is a laxative and often causes an increase in the number of stools, but the consistency of stools may become softer rather than completely liquid.

D. Increase in urine output is not a direct therapeutic response to lactulose administration for hepatic encephalopathy.

A. Topical analgesics. B. Topical corticosteroids. C. Topical antifungal. D. Colloidal oatmeal-based lotion.

Correct Answer is B

Explanation

B. Topical corticosteroids are commonly used in the treatment of psoriasis to reduce inflammation, itching, and scaling. They can help alleviate the symptoms described by the client, such as burning and bleeding of the affected areas.

A. While topical analgesics can provide pain relief, they do not directly address the underlying cause of psoriasis or reduce inflammation and scaling.

C. Topical antifungal agents are used to treat fungal infections of the skin, such as ringworm or athlete's foot. Psoriasis is not caused by a fungal infection.

D. Colloidal oatmeal-based lotions can help soothe and moisturize dry, irritated skin. While they may provide some relief of symptoms associated with psoriasis, such as itching and burning, they do not directly address inflammation or scaling.

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Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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