HESI RN Med surg adult health proctored exam
An adult woman with Grave's disease is admitted with severe dehydration and malnutrition. She is currently restless and refusing to eat. Which action is most important for the nurse to implement?
Explanation & Rationale
Choice A reason: Keeping the room temperature cool may help with comfort but is not the immediate priority.Choice B reason: Determining the client's food preferences is important for nutritional management but is not the first action to take.Choice C reason:The correct answer is c) because maintaining a patent intravenous site is crucial for administering fluids and medications to address severe dehydration and malnutrition.Choice D reason: Teaching relaxation techniques can help with restlessness but is not the most immediate concern.
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