A patient with severe diarrhoea is thirsty, dizzy when standing, and has a dry mouth. Which nursing action has the highest priority?
Correct answer: B. Assess vital signs and begin prescribed fluid replacement
- A. Offer a large meal containing extra protein
- B. Assess vital signs and begin prescribed fluid replacement
- C. Restrict oral fluids to prevent further diarrhoea
- D. Place the patient flat and delay further assessment
Explanation
Thirst, dry mucous membranes and postural dizziness suggest extracellular fluid loss and possible reduced circulating volume. Vital signs and prescribed fluid replacement address circulation, which takes priority over nutrition or fluid restriction. Delaying assessment could allow hypovolaemic shock to worsen.
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About Nutrition, Fluids and Electrolytes
Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.
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50 free Nutrition, Fluids and Electrolytes MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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