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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. In older adults, bones tend to lose calcium, becoming less dense, and more prone to fractures.
B. Generally, older adults may experience a decrease in muscle mass due to factors such as decreased physical activity and hormonal changes.
C. This is the correct answer. Joint stiffness is a common age-related change due to wear and tear on the cartilage.
D. Balance tends to decline with age due to factors such as changes in vision, muscle strength, and joint flexibility.

A. Use blood that is less than a month old. B. Use an 18-gauge needle to obtain venous access. C. Obtain the client’s vital signs every 30 min throughout the transfusion. D. Administer each unit over 3 hr.

Correct Answer is C

Explanation

A. While using fresher blood is desirable, it is not always practical, and the primary consideration is the client's clinical condition.
B. An 18-gauge needle may be used for rapid infusion, but the size of the needle should be appropriate for the client's condition and the facility's policy.
C. Monitoring vital signs is essential during a blood transfusion to detect any potential adverse reactions promptly.
D. Administering blood units over a recommended time frame is important, but obtaining vital signs at regular intervals during the transfusion is a more immediate and continuous monitoring method.

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A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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