An elderly patient tells the nurse that she does not drink many fluids because she is on a "water pill" and does not want to "harm what the water pill is supposed to do."

Question

Which of the following is the nurse's best response to this patient? 1. "Taking a water pill does not mean you should not drink fluids. You can become dehydrated.".
2. "Limiting fluids will ensure that you won't be overhydrated.".
3. "Just make sure you drink the things that you like, such as coffee and juice.".
4. "It's not necessary for you to drink water throughout the day.".

Answer 1

"Taking a water pill does not mean you should not drink fluids. You can become dehydrated.".

Rationale: The most common cause of dehydration or pure water deficit is the excessive loss of free water through urine as seen in people taking diuretics and not replacing fluids through drinking. Elderly individuals have decreased perception of thirst due to aging and may not replace fluids appropriately. The elderly are particularly vulnerable to dehydration because many are taking prescription diuretics. The nurse should explain that drinking fluids is important to avoid dehydration. The nurse should not support the patient's reasoning that by limiting fluids, the diuretic would work more effectively. Everyone needs an intake of fluids every day.