Sample interview questions: How do you ensure proper hydration for geriatric patients with fluid restriction?
Sample answer:
- Conduct Comprehensive Patient Assessment:
- Evaluate the patient’s fluid restriction order and the underlying condition (e.g., congestive heart failure, renal failure) that necessitates the restriction.
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Assess the patient’s current hydration status through physical examination (skin turgor, mucous membranes, capillary refill) and laboratory tests (sodium, potassium, BUN, creatinine).
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Individualized Hydration Plan:
- Develop a personalized hydration plan in collaboration with the patient and their healthcare team.
- The plan should include a specific daily fluid intake goal, taking into account the patient’s fluid restriction, underlying condition, activity level, and other relevant factors.
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Set realistic goals that are achievable for the patient given their condition and preferences.
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Oral Hydration:
- Encourage the patient to consume fluids orally as much as possible.
- Offer a variety of appealing and safe fluids such as water, decaffeinated tea, herbal tea, and diluted fruit juices (avoid sugary drinks).
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Use straws or cups with lids to assist patients with swallowing difficulties.
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Administer Fluids Safely:
- For patients who are unable to meet their fluid needs orally, consider alternative methods of fluid administration, such as intravenous (IV) fluids or a nasogastric tube.
- Ensure the IV fluids are administered at a safe rate and monitor the patient for signs of fluid overl… Read full answer
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