Correct Answer: A

Rationale: Corrected
Rationale: Daily weight monitoring is the most accurate way to assess fluid balance in patients receiving diuretics. Monitoring daily weight allows healthcare providers to track changes in fluid status more precisely. While monitoring intake and output (choice
B) is essential, it may not provide a comprehensive picture of overall fluid balance. Monitoring blood pressure (choice
C) is important but may not directly reflect fluid balance. Checking for edema (choice
D) is useful but may not be as sensitive as daily weight monitoring in assessing fluid balance.

Correct Answer: A

Rationale: The correct answer is to observe for facial expressions when assessing pain in a non-verbal patient. Facial expressions can provide vital clues about the patient's pain level and discomfort.

Choices B and C, observing for restlessness and sweating, can be less specific and may indicate other issues besides pain.
Choice D, checking for non-verbal cues, is too broad and does not specify the crucial aspect of focusing on facial expressions.

Correct Answer: B

Rationale: The correct answer is B: "Exercise for 30 minutes at least 5 days a week." Regular exercise helps promote cardiovascular health and manage hypertension.
Choice A is incorrect because increasing sodium intake is not recommended for hypertension.
Choice C is incorrect because while sleep is important, excessive sleep duration is not typically part of hypertension management.
Choice D is incorrect because fluid intake should be adequate unless advised otherwise by a healthcare provider.

Correct Answer: A

Rationale: The most appropriate action when a patient is experiencing severe dehydration is to administer IV fluids. This intervention is crucial in rapidly correcting dehydration and restoring fluid balance. Encouraging oral fluids may not be sufficient in cases of severe dehydration where intravenous rehydration is needed. Monitoring electrolytes is important but administering fluids takes precedence in severe dehydration. Performing a neurological exam is not the primary intervention for severe dehydration.

Correct Answer: D

Rationale: The correct answer is D: 'Trim toenails straight across.' In clients with diabetes, trimming toenails straight across is important to prevent ingrown toenails, reducing the risk of infections. Soaking feet in warm water daily (choice
A) can lead to dry skin and potentially cause skin breakdown in diabetic clients. While wearing cotton socks (choice
B) is beneficial for good foot hygiene, it is not as crucial as trimming toenails correctly. Applying lotion to feet after bathing (choice
C) is helpful for moisturizing the skin, but the emphasis should be on nail care to prevent complications like ingrown toenails.