A nurse is in the process of discharging an older client with an open abdominal wound requiring dressing changes. The nurse has instructed the client about the importance of maintaining adequate hydration

Which statement by the client shows the need for further instruction?
A) "I can add an extra cup of decaffeinated coffee with breakfast and dinner."
B) "I'll drink water and nonsugared beverages whenever I feel thirsty."
C) "I will set up a schedule to drink a glass of water every 2 hours throughout the day."
D) "If I drink a lot of fluids, I'll have to go to the bathroom more often, but I'll get more exercise."


B

Nursing

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Since returning from surgery the client has not voided for 8 hours; therefore, the nurse determines it is necessary to assess the client for bladder distention. Which client position is appropriate for this assessment?

1. Supine with only a small pillow under their head. 2. Prone position. 3. Sitting in bed at a 45-degree angle. 4. Lying in a left lateral position.

Nursing

Otitis media can occur with or without an effusion. Which of the following best describes an effusion?

a. accumulation of fluid such as in the middle ear or pleural cavity b. movement of fluid back and forth between the outer ear and inner ear c. a blocked eustachian tube causes pressure in the middle ear d. escape of fluid from the middle ear into surrounding tissues

Nursing

In which situation should the SBAR (Situation-Background-Assessment-Recommendation) tool most appropriately be used?

a. To reduce the risk of nosocomial infec-tions b. To improve response to changes in patient condition c. In hand-off communication d. For accuracy of patient identification

Nursing

A patient should be taught to replace a nitroglycerin supply every ____________________ month(s)

Fill in the blank with the appropriate word.

Nursing