A patient, age 78, has been admitted to the hospital with dehydration and electrolyte imbalance. She is confused and incontinent of urine on admission
Which nursing intervention does the nurse include in developing a plan of care?
a.
Restrict fluids after the evening meal
b.
Insert an indwelling catheter
c.
Assist the patient to the bathroom every 2 hours
d.
Apply absorbent incontinence pads
ANS: D
Use of protective undergarments may help to keep the patient and the patient's clothing dry. Confused patients are high risk for falls. Restricting fluids will only decrease incontinence during the night and will exacerbate the dehydration and electrolyte imbalance.
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