The nurse is planning interventions to reduce an older client's risk of dehydration. Which intervention would result in the client's dehydration?

Question

1. Provide peanut butter and crackers for snack
2. Keep the room warm according to client's preference
3. Administer the prescribed diuretic with the evening meal
4. Offer to bring coffee to the client a few times per day

Answer 1

3. Administer the prescribed diuretic with the evening meal

Explanation: 1. Though these foods contain sodium, the intake is not likely to result in a fluid imbalance.
2. Keeping the room hot could result in dehydration, but adjusting the temperature to the client's comfort level should not cause insensible fluid loss.
3. Administering prescribed diuretics with the evening meal will encourage nocturia and voluntary restriction of fluids by the client. This will lead to dehydration.
4. By offering liquids to the client when entering the room, the risk for dehydration can be decreased. If the client enjoys coffee, this is included in the total intake even though it can have a mild diuretic effect. Decaffeinated coffee is a great way to boost liquid intake, too.