The nurse instructed an older patient on the importance of maintaining adequate hydration. Which statement by the patient indicates that additional teaching is needed?
1. "I'll drink water and unsweetened beverages whenever I feel thirsty."
2. "I can add an extra cup of decaffeinated coffee with breakfast and dinner."
3. "I will set up a schedule to drink a glass of water every 2 hours throughout the day."
4. "If I drink a lot of fluids, I'll have to go to the bathroom more often, but I'll get more exercise."
1
Rationale: The patient needs additional instructions regarding adequate fluid intake. Because the thirst mechanism becomes blunted with age, the patient cannot rely on feeling thirsty as a signal to meet hydration requirements.
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