During assessment of hydration status, the client tells the nurse that she usually drinks 3 quarts of liquids each day. Which question by the nurse is best?
a. "Do you usually drink liquids that are hot or cold?"
b. "How much salt do you add to your food?"
c. "What kinds of liquids do you usually drink?"
d. "Do you drink fluids with meals or be-tween meals?"
C
It is just as important to determine the types of fluids ingested as the amount, because fluids vary widely in their osmolarity. In addition, some liquids, such as those that contain alcohol or caffe-ine, can contribute to fluid and electrolyte imbalances.
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George is a reliable certified nursing assistant (CNA) on your unit. He is liked by most staff and some patients. George is very loud and gregarious while at work, however, and this is frequently a problem
During his annual evaluation, you do not address this because you do not want to upset him. a. This is appropriate because, after all, he is reliable b. This is appropriate because he cannot change his personality c. This is inappropriate because the manager is not helping him improve and is being too lenient d. This should be ignored; after all, for the last 2 weeks, it has not been a problem
A nurse is preparing an educational program on planning for a hospitalization for residents of an assisted living community. What information does the nurse need to include? Select all that apply
A) Bring a list of your current medication and current labs. B) Bring several changes of clothing so that you won't have to wear a hospital gown. C) Bring a copy of any advanced directives that you have in place. D) Bring good walking slippers, a bathrobe, and a book if you are a reader.
The nurse has been explaining advance directives to a patient. Which response by the patient would indicate that he has correctly understood the information? "An advance directive is a document:
1) Specifying your health care intentions should you become unable to make self-directed decisions." 2) Identifying the activities considered to be evidence of quality care." 3) Verifying your understanding of the risks and benefits associated with a procedure." 4) Allowing you the autonomy to leave the hospital when you decide, even if it is against medical advice."
The nurse brings the medication into a child's room for administration. The intervention that will ensure safe administration of this medication is:
a. Call the child by name to verify the patient's identity b. Verify the patient's identity with the hospital identification band for child's birth date c. Inform the parent about the side effects of the drug d. Ask another nurse to verify the child's identity