While orienting to the medical surgical care unit, the new graduate is assigned to care for an 82-year-old client on the day shift. At the end of the 8-hour shift, the graduate records 50 cc as oral intake.
When the preceptor questions the graduate nurse about the amount recorded, the nurse reports the client was not thirsty all day. What response by the preceptor is indicated?
A) That often happens if the client is tired.
B) You must force a fluid intake of at least 1000 cc per shift.
C) As long as the output is adequate, this intake is sufficient.
D) Thirst may be diminished in the elderly, so you really need to work harder to ensure adequate intake.
Question 2
An older patient with multiple rib fractures is diagnosed with osteomalacia. What should the nurse teach the patient to help prevent further problems from this diagnosis? Standard Text: Select all that apply.
1. Begin steps to stop smoking.
2. Increase the intake of chicken and fish.
3. Ingest dairy products fortified with vitamin D.
4. Engage in weight bearing exercises 3 times a week.
5. Expose the hands and the face for 15 minutes a day to direct sunlight.
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