The nurse is assigned to care for a client with polycythemia vera. When the nurse encourages the client to drink 3 L of fluid per day, the client states, "Why do I have to drink so much?" What is the best response by the nurse?
A) "We don't want you to get dehydrated."
B) "It helps adequately hydrate you and ensures a sufficient urine production."
C) "It will help your heart beat regularly and effectively."
D) "It will help restrict blood circulation."
B
Feedback:
The client should be advised to drink 3 quarts (or liters) per day. Adequate hydration promotes venous return and ensures sufficient urine production. Informing the client that the healthcare team does not want them to get dehydrated does not address the rationale that the client requires. Fluid hydration will not help the heart beat regularly or more effectively and it will not help to restrict blood circulation.
You might also like to view...
Which tool would be appropriate for a nurse to use when assessing mental acuity prior to and immediately following electroconvulsive therapy (ECT)?
1. CIWA scale 2. GGT 3. MMSE 4. CAPS scale
When performing the Heimlich maneuver on an adult client who is choking, the rescuer should stand behind the client, wrap the arms around the client's waist, and then:
a. make a fist and gently punch the abdomen b. give the client a firm hug c. call for help before initiating the process d. place fists below the xiphoid process and give a quick upward thrust
A client who is going to have a biopsy is demonstrating moderate anxiety, as exemplified by his
inability to grasp information presented by the health care team. The nursing intervention that should be implemented is to a. reassure the client that many treatments are available for a lung neoplasm. b. describe the procedure again in a calm manner and with simple language. c. tell the client that staff are prepared to help him in any way they can. d. explain to the client that he should not keep his feelings to himself.
Based on the adult nomogram, the BSA for a patient who is 68 in. tall and 145 lb is 
A. 1.70 m2. B. 1.73 m2. C. 1.77 m2. D. 1.80 m2.