Author Question: The client has been placed on a 1,200 mL oral fluid restriction. How should the nurse plan for this ... (Read 61 times)

asmith134 · **on:** Jul 23, 2018

The client has been placed on a 1,200 mL oral fluid restriction. How should the nurse plan for this restriction?

1. Allow 600 mL from 7-3, 400 mL from 3-11, and 200 mL from 11-7.
2. Instruct the client that the 1,200 mL of fluid placed in the bedside pitcher must last until tomorrow.
3. Offer the client softer, cold foods such as sherbet and custard.
4. Remove fluids from diet trays and offer them only between meals.

Question 2

The nurse is providing discharge instructions to a client who has been started on furosemide (Lasix) once daily. What information is essential to include in this information?

1. Take the medication at bedtime.
2. Avoid high-potassium foods.
3. Stand up slowly from a sitting position.
4. Do not take this medication on the days you take digitalis (Lanoxin).

kilada · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The amount of fluid allowed should be divided between the three major times of the day (7-3, 3-11, 11-7). This helps by taking into consideration meals and medication administration.
Rationale 2: The client should be given a choice regarding consumption of fluids at mealtime.
Rationale 3: Sherbet and custard are counted as liquids and should be avoided.
Rationale 4: The client should be given a choice regarding consumption of fluids at mealtime.

Answer to Question 2

Correct Answer: 3
Rationale 1: The medication should be taken in the morning to prevent awakening at night to void.
Rationale 2: The client should be encouraged to eat potassium-rich foods and will probably be prescribed a potassium supplement.
Rationale 3: Clients who are taking diuretics must make position changes slowly in order to minimize dizziness from orthostatic hypotension.
Rationale 4: While clients who take digitalis (Lanoxin) and furosemide (Lasix) are at higher risk for the development of digitalis toxicity, the medications are often taken concurrently. The client and health care provider must monitor these clients closely for the development of digitalis toxicity.