Which of the ff points should a nurse include in the teaching plan for clients who have potential for hypovolemia?

Correct Answer: A

Rationale: Clients at risk for hypovolemia, which is a condition characterized by low blood volume, should be advised to avoid alcohol and caffeine. Alcohol and caffeine are known to have diuretic effects, which can further deplete the body's fluid volume and worsen the condition. By avoiding alcohol and caffeine, clients can help maintain adequate fluid levels in the body and reduce the risk of exacerbating hypovolemia. Additionally, it is important for clients at risk for hypovolemia to stay hydrated by consuming adequate amounts of water or other hydrating fluids.

Correct Answer: D

Rationale: Washing hands frequently is an important preventive factor that the nurse should teach a client with rhinitis. Rhinitis is characterized by inflammation of the mucous membrane lining the nose, leading to symptoms such as a runny or stuffy nose. Rhinitis can be caused by viruses, bacteria, allergens, or irritants. By washing hands frequently, the client can reduce the risk of coming into contact with these pathogens and reduce the likelihood of exacerbating their symptoms or developing complications. Handwashing is a simple yet effective way to prevent the spread of infections and maintain good overall health.

Correct Answer: B

Rationale: In acute bronchitis, the highest priority in the teaching plan should focus on preventing the spread of infection. Washing hands frequently can help reduce the risk of spreading the infection to others or introducing new germs that could worsen the client's condition. Proper hand hygiene is one of the most important ways to prevent the transmission of respiratory infections, like bronchitis, by reducing the number of pathogens on the hands. This measure is important not only for the client's well-being but also for the health of those in close contact with the client.

Correct Answer: C

Rationale: A desired outcome for the nursing diagnosis of acute pain related to acute thrombophlebitis would be for the patient to be able to participate in desired activities. By achieving pain relief and being able to engage in activities they enjoy or find important, the patient's overall quality of life can be improved. This outcome focuses on enhancing the patient's ability to function and maintain independence despite the pain associated with the thrombophlebitis. It reflects a holistic approach to care that considers the patient's physical, emotional, and social well-being. Ultimately, the goal is to help the patient achieve a level of comfort and mobility that allows them to resume their desired activities.

Correct Answer: A

Rationale: Antibodies are proteins produced by the immune system that specifically recognize and bind to foreign molecules, such as antigens. They are chemical markers that facilitate the identification of cells or molecules by interacting with specific antigens. This interaction plays a crucial role in various immune responses, including immune surveillance, antigen recognition, and immune defense mechanisms. Antibodies are essential tools in biomedical research, diagnostics, and therapeutics for identifying and targeting specific cells or molecules.