A client diagnosed with chronic renal failure is prescribed ...

[gonzo233]

A client diagnosed with chronic renal failure is prescribed hydrochlorothiazide (HCTZ). The client asks the nurse which is the best fluid to drink to avoid dehydration. Which is the best response by the nurse?
 
  1. Iced tea or coffee is good.
  2. You may drink alcohol in moderation.
  3. Plain water is best.
  4. Electrolyte-replacement fluids like Gatorade are excellent.

Question 2

A client is taking a diuretic for the treatment of congestive heart failure.
 
  The nurse teaches the client the importance of daily weights and knows the client understands the instruction when he states, I will report a weight gain or loss of _____ pounds in a 24-hour period.
  Standard Text: Round answer to the nearest tenth place.
 
  Fill in the blank with the appropriate word.

[LegendaryAnswers]

Answer to Question 1

Correct Answer: 3
Rationale 1: Caffeine contributes to dehydration.
Rationale 2: Alcohol contributes to dehydration and potentiates hypotension in clients taking diuretics.
Rationale 3: Plain water is the preferred fluid for avoiding dehydration.
Rationale 4: This client has renal failure treated with a diuretic, is susceptible to electrolyte imbalances, and should avoid electrolyte replacement fluids.
Global Rationale: Plain water is the preferred fluid for avoiding dehydration. Caffeine contributes to dehydration. Alcohol contributes to dehydration and potentiates hypotension in clients taking diuretics. This client has renal failure treated with a diuretic, is susceptible to electrolyte imbalances, and should avoid electrolyte replacement fluids.

Answer to Question 2

Correct Answer: 2.2
Rationale: The client should report a weight gain or loss of over 1 kg (2.2 lb) in a 24-hour period.
Global Rationale: The client should report a weight gain or loss of over 1 kg (2.2 lb) in a 24-hour period.

[gonzo233]

TYSM

[cassie_ragen]

Excellent