The nurse is caring for an older patient who is occasionally confused. What should be the nurse's primary concern regarding fluid and electrolytes when caring for this patient?
1. risk of dehydration
2. risk of kidney damage
3. risk of stroke
4. risk of bleeding
Correct Answer: 1
As an adult ages, the thirst mechanism declines. In a patient with an altered level of consciousness, this presents an increased risk of dehydration and high serum osmolality. The risks for kidney damage, stroke, and bleeding are not specifically related to aging or fluid and electrolyte issues.
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Patients with spinal cord injuries have a slightly lower life expectancy than do people without SCI. What are the major causes of death in people with SCI?
A) Old age B) Urinary tract infection C) Kidney disease D) Pulmonary emboli
The nurse is teaching a client with cellulitis about ways to avoid future infections. The nurse determines that a learning outcome has been met when the client states which of the following?
1. "I can stop taking the antibiotics when the swelling subsides.". 2. "I should not use antibiotic soap to cleanse the wounds.". 3. "I should eat a lot of rice to increase my intake of vitamin C.". 4. "I will stay away from hot tubs and whirlpools.".