A client who regularly exercises vigorously is being discharged from the emergency department after suffering from dehydration that was corrected. The nurse would realize that the client needs additional instructions when the client says

a. "Drinking water too fast just goes through the kidneys and doesn't help."
b. "I will try to avoid exercising outside in high humidity."
c. "OK, I'll stop trying to lose weight by wearing sweats all summer long."
d. "When I get thirsty, I know to stop and drink something then."


D
Health promotion education for people who exercise, especially those who exercise outdoors in warm/hot weather, includes instructing them about options a, b, and c, plus the importance of heat acclimatization, drinking cool water before exercising and then drinking an additional 150-200 ml every 15 minutes during exercise and after finishing, eating carbohydrates if exer-cising for a prolonged period, and not waiting to drink until thirst is felt.

Nursing

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