A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?
Dark-colored urine
High blood pressure
Distended neck veins
Moist skin
The Correct Answer is A
A. Dark-colored urine is a common finding in dehydration, indicating concentrated urine.
B. Dehydration is more likely to be associated with hypotension rather than high blood pressure.
C. Distended neck veins are more associated with fluid overload, not dehydration.
D. Moist skin is not a typical finding in dehydration; dry skin is more common.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. With a potassium level of 5.2 mEq/L, the client is not in need of additional potassium, and it is appropriate to notify the physician to discuss potential adjustments to the prescription.
B. Verifying the results with the lab may provide confirmation but does not address the need for action.
C. Omitting the KCL dose is appropriate in this situation as the client's potassium level is within the normal range.
D. Giving the ordered KCL as prescribed is not appropriate in this case, as the client's potassium level is already within the normal range.
Correct Answer is C
Explanation
A. While cheese contains calcium, the serving size is small, and it may be higher in fat. Milk is generally a better source.
B. Ice cream contains calcium, but it is also high in sugar and fat. Additionally, the serving size is small, so it may not be the most efficient way to get calcium.
C. Milk is a rich source of calcium and is easily absorbed by the body. It is a staple in promoting bone health.
D. Cottage cheese does contain calcium, but the amount may not be as high as in milk. Also, some people may not prefer cottage cheese.
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