A client who is receiving diuretic therapy comes to the clinic ...

[jerry coleman]

A client who is receiving diuretic therapy comes to the clinic for a follow-up visit. The client states that his mouth is often dry and that he is urinating like there is no tomorrow.
 
  Assessment reveals dry mucous membranes and decreased skin turgor. Which nursing diagnosis would the nurse most likely identify?
 
  A) Risk for Injury
  B) Risk for Deficient Fluid Volume
  C) Impaired Urinary Elimination
  D) Deficient Knowledge

Question 2

A nurse is reviewing the laboratory test results of a client who is receiving diuretic therapy. The nurse determines that the client is at risk for electrolyte imbalance based on which results? Select all that apply.
 
  A) Potassium 4.5 mEq/L
  B) Sodium 139 mEq/L
  C) Magnesium 2.0 mEq/L
  D) Sodium 124 mEq/L
  E) Potassium 2.9 mEq/L

[LegendaryAnswers]

Answer to Question 1

Ans: B
Feedback:
Based on the client's report and assessment findings, a nursing diagnosis of Risk for Deficient Fluid Volume would be most appropriate. Risk for Injury would be appropriate if the client was complaining of dizziness on changing positions or changes in heart rate and rhythm. Although the client is experiencing frequency, that is the intended effect of the drug. Although possible, there is no evidence provided to support a nursing diagnosis of Deficient Knowledge.

Answer to Question 2

Ans: D, E
Feedback:
Sodium levels below 132 mEq/L, such as 124 mEq/L, or above 145 mEq/L would indicate an imbalance. Potassium imbalances would occur with levels below 3.0 mEq/L, such as 2.9 mEq/L, or above 5 mEq/L. A magnesium level of 2.0 mEq/L is within the normal range of 1.5 to 2.5 mEq/L.