Difficulty: Medium
Average Score: 84%
Simulated
The nurse is interviewing an 80-year-old client who has urinary incontinence. The client is taking furosemide. When asked about daily fluid intake, the client states, 'I drink 2 glasses of water, 1 glass of milk, and a half glass of juice. I donÔÇÖt drink coffee or tea.' Which responses by the nurse are appropriate? Select all that apply.
Correct answer
A;C;D
Rationale
The clientÔÇÖs 3.5 glasses of fluid are inadequate, increasing dehydration risk, especially with furosemide. Older adults need 6-8 glasses of water plus other fluids, and avoiding caffeine reduces diuresis. Inadequate fluid may worsen incontinence.