During a hot summer day, an older adult client tells the clinic nurse, "I am not drinking or voiding that much these days." The nurse notes a heart rate of 100 beats/min and a blood pres-sure of 90/60 mm Hg
Which action does the nurse take first? a. Give the client something to drink.
b. Insert an intravenous catheter.
c. Teach the client to drink 2 to 3 liters a day.
d. Perform a bladder scan to assess urine volume.
A
Severe blood volume depletion can lead to kidney failure, even in those who have no kidney problem. The client is showing signs of mild volume depletion. The first action the nurse should take is to give the client something to drink. After that, the nurse should teach the client to avoid dehydration by drinking at least 2 to 3 L of fluid daily. The client does not need an IV at this time. Performing a bladder scan will not help prevent or reverse the client's problem.
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