A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client questions this action, saying "I have been drinking tons of water. How am I dehydrated?" What response by the nurse is best?
a. "Breathing so quickly can be dehydrating."
b. "Everyone with pneumonia is dehydrated."
c. "This is really just to administer your antibiotics."
d. "Why do you think you are so dehydrated?"
ANS: A
Tachypnea and mouth breathing, both seen in pneumonia, increase insensible water loss and can lead to a degree of dehydration. The other options do not give the client useful information.
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