ATI PN Adult Med Surg 2020 with NGN
ATI PN Adult Med Surg 2020 with NGN ( 101 Questions)
A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid replacement. Which of the following interventions should the nurse contribute to the plan of care?
Check for neck vein distention: Neck vein distention is not a common intervention for treating dehydration.
The correct answer is choice B, Offer oral fluids every 4 hr. To correct dehydration, the nurse should encourage the client to drink fluids orally as tolerated. Offering oral fluids every 4 hr helps the client stay hydrated, which reduces the risk of complications. Choice A is incorrect because neck vein distention is not related to dehydration. Choice C is incorrect because monitoring pulse pressure is not a common intervention for treating dehydration. Choice D is incorrect because limiting oral fluids before bedtime is not recommended when the client is dehydrated.
Other choices:
Monitor pulse pressure every 6 hr: Monitoring pulse pressure is not a common intervention for treating dehydration.
Limit oral fluids prior to bedtime: Limiting oral fluids before bedtime is not recommended when the client is dehydrated.
The correct answer is choice B, Offer oral fluids every 4 hr. To correct dehydration, the nurse should encourage the client to drink fluids orally as tolerated. Offering oral fluids every 4 hr helps the client stay hydrated, which reduces the risk of complications. Choice A is incorrect because neck vein distention is not related to dehydration. Choice C is incorrect because monitoring pulse pressure is not a common intervention for treating dehydration. Choice D is incorrect because limiting oral fluids before bedtime is not recommended when the client is dehydrated.
Other choices:
A. Check for neck vein distention: Neck vein distention is not a common intervention for treating dehydration.
Monitor pulse pressure every 6 hr: Monitoring pulse pressure is not a common intervention for treating dehydration.
Limit oral fluids prior to bedtime: Limiting oral fluids before bedtime is not recommended when the client is dehydrated.