A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
Dark-colored urine
Moist skin
Distended neck veins
High blood pressure
The Correct Answer is A
A. Dark-colored urine is a common sign of dehydration, indicating concentrated urine due to reduced water intake or excessive fluid loss.
B. Dehydration typically causes dry or parched skin rather than moist skin.
C. Distended neck veins are not typical findings associated with dehydration; instead, they might indicate other conditions like heart failure.
D. Dehydration tends to cause a drop in blood pressure rather than high blood pressure due to reduced fluid volume.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While obtaining meals is important, the immediate priority during orientation is to ensure the patient knows how to call for assistance if needed, particularly the nurse, for any urgent concerns.
B. Showing patients how to call the nurse is crucial for immediate access to healthcare professionals for assistance or emergencies.
C. While knowing how to use the telephone can be helpful, the priority typically leans towards ensuring the patient knows how to request immediate assistance.
D. Knowing how to operate the TV is important for patient comfort but is usually considered of lower priority compared to accessing nursing assistance.
Correct Answer is B
Explanation
A. 9 calories per gram is the energy yield for fats, not carbohydrates.
B. Carbohydrates provide approximately 4 calories per gram, which is the energy yield for this macronutrient.
C. 5 calories per gram is not the typical energy value for carbohydrates; it's closer to the value for proteins.
D. 6 calories per gram is not the energy yield for carbohydrates; it's closer to the value for alcohol.
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