Author Question: Which of the following is a true statement about fluid intake for older adults? a. Daily total ... (Read 103 times)

amal · **on:** Jul 11, 2018

Which of the following is a true statement about fluid intake for older adults?

a. Daily total volume should be 1500 ml to 2000 ml.
b. Coffee is a suitable beverage for main-taining hydration.
c. Caffeinated beverages are sometimes pre-ferable to water.
d. Total daily fluid intake should be ap-proximately 10 ml per kg of body weight.

Question 2

An older adult who has cardiac disease awakens abruptly during the night with coughing, diaphoresis, and palpitations. Which action should the nurse implement to manage the pa-tient's signs and symptom?

a. Obtain a 12-lead electrocardiogram (ECG).
b. Administer an antianxiety medication.
c. Raise the head of the bed to 30 degrees.
d. Offer a cool cloth and refresh bed linens.

dantucker · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Daily total volume of fluid should be 1500 ml to 2000 ml. Caffeine increases urine production and therefore aggravates dehydration rather than relieving it. Total daily fluid intake should be 30 ml per kg of body weight, not 10 ml.

Answer to Question 2

C

Feedback
A Incorrect. A 12-lead ECG can be a reasonable response if the patient experiences chest pain or pressure, if the nurse suspects myocardial ischemia, or the nurse finds evidence of ECG changes suggesting myocardial ischemia or injury.
B Incorrect. A sedative or hypnotic is not indicated, and it is premature to admi-nister one; in addition, for this individual, antianxiety medications can aggravate the problem.
C Correct. The older adult is experiencing paroxysmal nocturnal dyspnea (PND). Associated with heart failure, it is caused by pulmonary edema and the resultant accumulation of fluid in the pulmonary vasculature. PND is also characterized by feelings of suffocation and a gallop rhythm. Balancing the individual's fluid status and pharmacological regimen for heart failure will help to reduce or eliminate PND.
D Incorrect. After the head of the bed is elevated and the patient stabilizes, fresh linens and a cool cloth can help to soothe the patient and facilitate rest and sleep.