Place the following individuals in ranked order (1–4) related to their risk for dehydration from highest to lowest
A. ___ A 28-year-old patient who is NPO prior to an endoscopy
B. ___ An 8-year-old patient who has had diarrhea for 16 hours
C. ___ A 64-year-old patient who is taking potassium supplements
D. ___ A 72-year-old patient who has had a fever and anorexia for 48 hours
ANS:
A. ANS: 4
B. ANS: 2
C. ANS: 1
D. ANS: 3
Those at highest risk for dehydration are the elderly, infants, children, and any patient with a condition that may cause fluid loss. Fever causes fluid loss, and anorexia will reduce oral intake. The patient with diarrhea is at risk for dehydration due to fluid loss but has not had the condition for as long as the patient in option D, and there is no evidence that the 8-year-old is not taking fluids. Patients who are NPO have restricted fluid intake. Potassium supplements do not cause water loss.
You might also like to view...
A nursing instructor is discussing moral principles with a group of students. Which comment made by a student nurse indicates the need for further instruction?
A) "A client choosing not to have a needed blood transfusion is an example of autonomy." B) "An example of veracity would be if a client asks her nurse if she is going to die and the nurse feels obligated to explain to the client that she is dying." C) "If a client asks the nurse to please come right back, and the nurse tells the client he will be back in just a couple of minutes, then that would be an example of fidelity." D) "A home health nurse carefully planning his or her day to assure each client gets an adequate amount of time is an example of beneficence."
The nurse recognizes that which statement about myasthenia gravis (MG) is TRUE?
a. It is a chronic, progressive, incurable au-toimmune disease affecting multiple body organs. b. It involves the body's inability to transmit nerve impulses to voluntary muscles, causing extreme muscle weakness and fatigue. c. It is a hypersensitive immune response. d. It is an inadequate immunological response by the body.
A patient who is taking fluphenazine (Prolixin) to treat psychosis is experiencing symptoms of acute dystonia. While performing a medication history, the nurse learns that the patient takes herbal medications
Which herbal supplement would be of concern? a. Ginkgo b. Ginseng c. Kava kava d. St. John's wort
The nurse is conducting an admission assessment for a preschool-age client in the emergency department. When using the resiliency theory, which findings place this client at risk?
1. Loss of health insurance 2. No primary care provider 3. Incomplete immunizations 4. A grandmother who is able to room-in 5. High level language skills from the child