Which statement made by the older adult client alerts the nurse to assess specifically for fluid and electrolyte imbalances?
a. "My skin is always so dry, especially here in the Southwest."
b. "I often use a glycerin suppository for constipation."
c. "I don't drink liquids after 5 PM so I don't have to get up at night."
d. "In addition to coffee, I drink at least one glass of water with each meal."
C
Restricting fluids without a medical reason can lead to dehydration. Many older clients believe that restricting fluids will prevent incontinence and reduce the number of times that they wake up during the night. The increased osmolarity of the urine in response to reducing fluid intake increases irritation of the bladder and sphincter, increasing the sensation of needing to urinate. The other statements do not indicate practices that could potentially lead to dehydration.
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The nurse is caring for an adolescent who is quadriplegic following an accident and who will require rehabilitation after discharge from the acute care facility. The nurse encourages placement in a facility that:
1. Is as close to the teen's home as possible. 2. Allows the teen to be placed on a unit with peers. 3. Has a lower cost for treatment. 4. Cares for only children.
A nurse is using a systems framework when caring for individuals, families, and aggregates in the community. Which of the following best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual
a. Ability to communicate clearly with the client b. Analyzing power and decision making within the system c. Defining the system's structure and functions d. Recognizing the system's goals
A client with pelvic inflammatory disease (PID) from gonorrhea asks how this can cause sterility. Which is the nurse's response?
a. "The infection damages the ovary so that less estrogen is secreted and ovulation is not possible." b. "The infection remains in your body and can infect your baby, so it is best if you don't become pregnant." c. "If the infection is present in the fallopian tubes, it can cause enough scarring to block the tubes permanently." d. "The infection causes such damage to the cervix that it cannot contain a pregnancy inside the uterus for longer than 3 months."
The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months
All subjects will be given gift certificates for participating. One subject says, "Well, I guess if the drug doesn't work, I'll just have to put up with the symptoms for 6 months." What will the nurse tell the subject? a. "Participation for the duration of the study is required." b. "Participation may end at any time without penalty." c. "Withdrawal from the study may end at any time, but the gift certificate will not be given." d. "You can request placement in the treatment group."