Fundamentals of Nursing Q 397

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Which of the following conditions may require fluid restriction?

  

     A. Fever

     B. Chronic Obstructive Pulmonary Disease

     C. Renal Failure

     D. Dehydration

    

    

Correct Answer: C. Renal Failure

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In renal failure, the kidney loses their ability to effectively eliminate wastes and fluids. Because of this, limiting the patient’s intake of oral and I.V. fluids may be necessary. The term renal failure denotes the inability of the kidneys to perform excretory function leading to retention of nitrogenous waste products from the blood.

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Option A: A fever draws moisture out of the body. Plus, you lose fluid as your body makes mucus and it drains away. And that over-the-counter cold medicine you’re taking to dry up your head can dry the rest of you out, too. So drink plenty of water, juice, or soup.

Option B: Chronic obstructive pulmonary disease (COPD) is airflow limitation caused by an inflammatory response to inhaled toxins, often cigarette smoke. Alpha-1 antitrypsin deficiency and various occupational exposures are less common causes in nonsmokers.

Option D: Dehydration must be treated by replenishing the fluid level in the body. This can be done by consuming clear fluids such as water, clear broths, frozen water or ice pops, or sports drinks (such as Gatorade). Some dehydration patients, however, will require intravenous fluids in order to rehydrate.

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