Author Question: An elderly client tells the nurse that he does not drink much fluid because it causes him to not be ... (Read 47 times)

DyllonKazuo · **on:** Jun 25, 2018

An elderly client tells the nurse that he does not drink much fluid because it causes him to not be able to control his urine. Which of the following should this nurse assess first in this client?

1. Hypertension
2. Constipation
3. Dehydration
4. Lower extremity edema

Question 2

A client is diagnosed with hypophosphatemia. The nurse realizes that this electrolyte imbalance is most likely associated with:

1. diabetes mellitus.
2. congestive heart failure.
3. arthritis.
4. chronic alcoholism.

fdliggud · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
The frail elderly may eat less and drink less fluid to avoid getting up during the night to urinate or to help decrease episodes of incontinence. Since the client admits to reducing fluid intake, the nurse should first assess him for signs of dehydration. The client may also be experiencing constipation with the reduction in fluid; however, dehydration is the priority. Hypertension and lower extremity edema may or may not be an issue with the client who is dehydrated.

Answer to Question 2

4
A diet deficient in phosphorous may cause hypophosphatemia and reduced absorption of phosphorous occurs with chronic alcoholism. Hypophosphatemia is not associated with diabetes mellitus, congestive heart failure, or arthritis.