A Patient Who Is Disoriented, Debilitated, And/or Elderly May Be

question 35

Multiple Choice

A patient who is disoriented, debilitated, and/or elderly may be unable to drink an adequate amount of fluids to prevent dehydration, thus increasing the risk for constipation. To help prevent constipation, a nurse will

• A) Call the physician and get an order for intravenous (IV) therapy.
• B) Call a family member and ask if someone can stay with the patient and offer fluids.
• C) Enlist the help of the nurse aide or unlicensed assistive personnel to offer sips of fluids every 20 minutes.
• D) Force an extra glass of fluid on the patient with meals.

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Definitions:

Outcome Goals

The desired achievements or outcomes that individuals or groups aim for in a specific period.

Subgoals

Smaller, more manageable objectives set as part of the process to achieve a larger goal.

Symptoms of Depression

Clinical signs indicative of depression, such as persistent sadness, loss of interest, and changes in appetite or sleep.

Salutary Goal Statements

Declarations that outline beneficial, health-promoting objectives meant to guide actions and decisions.