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 A
Explanation
A. Patient valuables, such as jewelry, money, or personal items, are often small and easily misplaced during transfers due to their size and sometimes inadequate handling procedures.
B. Durable medical equipment, like walkers, is generally larger and easier to track and manage during transfers compared to small items like patient valuables.
C. Personal grooming items, while they may occasionally get misplaced, are typically larger and less prone to loss during transfers compared to smaller valuables.
D. Personal papers and magazines might also get lost, but they are usually larger and have a different handling process than smaller patient valuables, making them less commonly
misplaced during transfers.
Correct Answer is B
Explanation
A. The stomach is where food mixes with digestive juices and begins the process of breaking down, but it's not the initial site where food enters the gastrointestinal tract.
B. The mouth is where digestion begins as food is chewed and mixed with saliva, forming a bolus that starts the process of digestion before moving through the esophagus.
C. The rectum is the final portion of the large intestine where waste is stored before elimination, not the starting point of digestion.
D. The small intestine is the primary site of nutrient absorption but is not the starting point where food enters the gastrointestinal tract.
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