Nokea
A client's nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to fluid management should be delegated to a nursing assistant?
- A. Administer IV fluids as prescribed by the physician.
- B. Provide straws and offer fluids between meals.
- C. Develop plan for added fluid intake over 24 hours.
- D. Teach family members to assist client with fluid intake.
Correct Answer: B
Rationale: The nursing assistant can effectively encourage oral fluid intake by offering fluids between meals, which is within their scope of practice. Administering IV fluids, developing plans, and teaching family members are more advanced tasks that require higher-level nursing skills.
You may also like to solve these questions
For which condition would the use of salt tablets be considered?
- A. Mild deficits of serum sodium
- B. Severe deficits of serum magnesium
- C. Severe deficits of serum potassium
- D. Severe deficits of serum calcium
Correct Answer: A
Rationale: Salt tablets are used to correct mild sodium deficits by providing additional sodium chloride.
What diet would be most appropriate for Mr. Puff on discharge?
- A. Low-calorie, low-sodium
- B. Regular, with increase in milk and milk products
- C. Regular, with increase in onions, peas, cabbage
- D. Soft, with small frequent feedings
Correct Answer: D
Rationale: Small, frequent meals prevent overeating and reduce respiratory workload.
The main goal of treatment for acute glomerulonephritis is to
- A. encourage activity.
- B. encourage high protein intake.
- C. maintain fluid balance.
- D. teach intermittent urinary catheterization.
Correct Answer: C
Rationale: Maintaining fluid balance is critical in managing acute glomerulonephritis due to potential fluid overload.
What is the role of antiviral medications in treating herpes zoster ophthalmicus?
- A. Reduce viral replication
- B. Prevent bacterial infection
- C. Correct vision
- D. None of the above
Correct Answer: A
Rationale: Antivirals target the varicella-zoster virus, reducing its replication and severity.
Which type of agent does sulfur mustard fall under?
- A. Nerve agents
- B. Blistering agents
- C. Respiratory toxins
- D. Cyanide poisonings
Correct Answer: B
Rationale: The correct answer is B because sulfur mustard is a blistering agent that causes skin and respiratory damage.