The client taking an expectorant is consuming 3000 mL of fluid per day. The nurse should:
a. commend the client for increasing fluids.
b. do nothing, as the client should increase fluid intake when taking expectorants.
c. monitor the client for manifestations of dehydration
d. assess the client vital signs and breath sounds
ANS: D
Feedback
A Incorrect: This is not the priority intervention.
B Incorrect: This is not an appropriate action.
C Incorrect: Dehydration is unlikely when the client is consuming 3000 mL of fluid per day.
D Correct: The nurse should assess the client for overhydration including, a full bounding pulse and moist respirations.
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