The patient is receiving spironolactone (Aldactone). The patient asks the nurse what the best fluid to drink to avoid dehydration is. What is the best response by the nurse?
1. "Citrus juices are very good for rehydration."
2. "Any kind of fluid is okay, but avoid alcohol."
3. "Plain water is really the best."
4. "Electrolyte-replacement drinks like Gatorade."
3
Rationale 1: Citrus juices contain potassium, which should be avoided by those taking potassium-sparing diuretics.
Rationale 2: "Any kind of fluid" is not a correct answer as some fluids are better than others.
Rationale 3: Plain water is the best fluid for the patient to consume while receiving diuretic therapy.
Rationale 4: Electrolyte-replacement drinks like Gatorade are not as good as plain water in avoiding dehydration.
Global Rationale: Citrus juices contain potassium, which should be avoided by those taking potassium-sparing diuretics. Electrolyte-replacement drinks like Gatorade are not as good as plain water in avoiding dehydration. Iced teas, especially the green teas, are not as good as plain water in avoiding dehydration. Plain water is the best fluid for the patient to drink to avoid dehydration.
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The nurse is explaining concepts associated with pain to a group of patient family members. A question is asked about pain tolerance. The nurse explains that: Standard Text: Select all that apply
1. Pain tolerance varies greatly among people. 2. Pain tolerance is the automatic reaction of the body that often protects the individual from further harm. 3. Pain tolerance can increase with age. 4. Pain tolerance is a painful sensation perceived in a body part that is missing. 5. Pain tolerance is the amount of pain stimulation a person requires to feel pain.
The mental health nurse spends a great deal of time with clients diagnosed with a dissociative disorder. Because of this fact, what is it important for the nurse to do?
A) Promote a safe environment to protect the client from self-injury or injury to others. B) Model positive and desired behaviors. C) Develop a contract between the client and the staff for dealing with self-destructive behaviors. D) Decrease anxiety-producing stimuli.
To perform a nursing assessment correctly, the nurse must remember that pain perception involves several different variables, including afferent and efferent pathways, which are part of the:
1. cardiovascular system. 2. central nervous system. 3. lymphatic system. 4. circulatory system.
What finding is unique to the documentation of a physical examination of an infant
A. Fontanel sizes B. Liver span C. Prostate size D. Thyroid position