An older client is being admitted to the hospital for pneumonia. The client has no other health problems. Which action by the nurse is best?
a. Place the client on airborne precautions.
b. Offer the client fluids every hour or two.
c. Leave the bathroom light on at night.
d. Palpate the client's thyroid gland on ad-mission.
B
A normal age-related endocrine change is decreased antidiuretic hormone (ADH) production. This results in a more dilute urine output, which can lead to dehydration. If no contraindications are known, the nurse should offer (or delegate) the client something to drink at least every 2 hours. A client with a simple pneumonia would not need Airborne Precautions. The client may or may not need/want the bathroom light left on at night. Palpating the client's thyroid gland is a part of a comprehensive examination but is not specifically related to this client.
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