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Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

A.

Monitor daily urine output volume.

B.

Use salt tablets after strenuous exercise.

C.

Review food labels for sodium content.

D.

Drink plenty of water whenever thirsty.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Monitoring daily urine output volume is important for assessing fluid balance, but it does not directly address the issue of hypernatremia. Hypernatremia is characterized by high sodium levels in the blood, and monitoring urine output alone will not help in managing sodium intake or identifying sources of excess sodium.

 

Choice B rationale

 

Using salt tablets after strenuous exercise is not recommended for clients with hypernatremia. Salt tablets can increase sodium levels further, exacerbating the condition. Hypernatremia requires careful management of sodium intake, and salt tablets would be counterproductive.

 

Choice C rationale

 

Reviewing food labels for sodium content is crucial for clients with hypernatremia. This helps them identify and avoid foods high in sodium, which can contribute to elevated sodium levels in the blood. Educating clients on reading food labels empowers them to make informed dietary choices and manage their condition effectively.

 

Choice D rationale

 

Drinking plenty of water whenever thirsty is a general recommendation for maintaining hydration, but it does not specifically address hypernatremia. Clients with hypernatremia need to focus on managing their sodium intake and ensuring they do not consume excessive amounts of sodium.


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Correct Answer is C

Explanation

Choice A rationale

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Choice B rationale

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Choice C rationale

Observing the client’s fingers is crucial for detecting early signs of RA. Early RA often presents with swelling, tenderness, and stiffness in the small joints of the fingers.

Choice D rationale

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Correct Answer is C

Explanation

Choice A rationale

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Choice B rationale

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Choice C rationale

Checking serum creatinine is crucial before administering vancomycin because this medication can be nephrotoxic. Monitoring kidney function helps prevent potential renal damage.

Choice D rationale

Assessing body temperature is important for monitoring infection, but it is not directly related to the administration of vancomycin for Clostridium difficile infection.

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