Author Question: The nurse is reviewing a client's care plan. Appropriate nursing interventions for a client with ... (Read 232 times)

j.rubin · **on:** Jul 22, 2018

The nurse is reviewing a client's care plan. Appropriate nursing interventions for a client with electrolyte imbalance due to prerenal failure include: Standard Text: Select all that apply.

1. Weekly weights.
2. Recording intake and output.
3. Offering several small meals of a sodium-enhanced, low-protein diet.
4. Reorient client as needed.
5. Provide emotional support.

Question 2

Which of the following could the nurse perform in order to reduce the anxiety of a 70-year-old client about to undergo a physical examination?

1. Ask the client to identify herself.
2. Give the client a gown to wear.
3. Tell the client what will be done throughout the examination.
4. Tells the client that there is no need to be nervous.

shailee · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2,4,5
Rationale: The nurse will monitor the client's weight daily.

Answer to Question 2

3
Rationale: Helping the client to understand exactly what will happen reduces anxiety caused by fear of the unknown. The nurse would introduce himself to the client rather than making the client identify herself. While helping the client into a gown might be a necessary part of the preparation process, it could increase the client's level of anxiety. Telling the client there is no reason to be nervous negates the client's feelings, and is a barrier to a therapeutic relationship.