Which statement made by the client who is at continuing risk for dehydration indicates adequate understanding of measures to take to prevent mild dehydration from becoming more severe?
A. "I will weigh myself daily."
B. "When I feel light-headed, I will drink a glass of water."
C. "I will decrease my fluid intake if my urine output increases."
D. "If I forget to take my diuretic one day, I will take twice the dose the next day."
B
Feeling light-headed or dizzy is an indication of low blood pressure and poor perfusion. Mild dehydration can cause these problems and increasing fluid intake at the first sign of dehydration may prevent it from becoming worse.
You might also like to view...
The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? Select all that apply
a. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. b. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." c. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. d. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. e. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound.
On pelvic examination, you observe a non-tender, ulcerated, red lesion with raised borders on a patient's labia. Her inguinal lymph nodes are enlarged but non-tender
The patient reports that her partner who is HIV+ has a similar lesion on his penis. The clinician should have a high suspicion of: A. Herpes simplex I B. Herpes simplex II C. Condyloma acuminata D. Syphilis
The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements" for a patient with leukemia. The goal that would be realistic for this patient is:
1. to gain 5 pounds a week on an outpatient basis. 2. not to experience nausea or vomiting at mealtime. 3. to consume all food portions at every meal. 4. to maintain a stable weight during hospi-talization.
A patient was admitted 3 days ago with a myocardial infarction (MI) and has developed pulmonary edema. How would the nurse explain this condition to the patient and family?
1. The pulmonary system has an excessive amount of fluid that has been building over the last several days, and now the heart is no longer able to keep up with the demands. 2. The cardiac muscle has been injured and is not able to efficiently pump the blood through the patient's system, resulting in an increased pressure in the pulmonary system. 3. The pulmonary system was injured first due to hypoxia, which caused the heart attack. 4. The cardiac muscle is working too hard to push fluids through the pulmonary system and there is fluid excess as a result.