A client with hypertension asks why they must avoid high-sodium foods. What is the nurseu2019s best explanation?
High sodium increases fluid retention, which raises blood pressure and worsens hypertension.
A client receiving IV antibiotics reports swelling and tenderness at the IV site. What should the nurse do first?
Swelling and tenderness are signs of phlebitis. Stopping the infusion prevents further irritation or damage.
A client with respiratory infection has thick, sticky mucus. What should the nurse encourage?
Increasing fluids helps thin mucus and facilitates coughing and airway clearance.
A postoperative client has decreased bowel sounds and abdominal bloating. What is the nurseu2019s priority action?
Decreased bowel sounds and bloating suggest slowed GI motility. Assessing bowel sounds guides further intervention.
A client taking an opioid reports feeling very drowsy. What should the nurse assess first?
Opioids can depress respiratory function. Assessing the respiratory rate ensures the client is breathing safely.
The nurse is reinforcing teaching for a client prescribed a diuretic. Which statement indicates correct understanding?
Diuretics increase urination. Taking them in the morning prevents nighttime bathroom trips.
During assessment, a client with diabetes reports excessive thirst and frequent urination. What should the nurse do first?
Thirst and frequent urination are signs of hyperglycemia. Checking blood glucose provides immediate assessment data.
A postoperative client reports pain at the incision site. What should the nurse do first?
Assessing the incision ensures that complications like infection or dehiscence are not present before medication is given.
The nurse is caring for a client with possible dehydration. Which finding is most concerning?
Decreased urine output indicates reduced kidney perfusion, a serious complication of dehydration.