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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Free Nursing Study Resources

Correct Answer is ["56"]

Explanation

To calculate the infusion rate for Ringer's lactate, we need to use the following formula: Infusion rate (gtt/min) = Volume (mL) x Drop factor (gtt/mL) / Time (min)

Plugging in the values from the question, we get:

Infusion rate (gtt/min) = 500 mL x 20 gtt/mL / 180 min Simplifying, we get:

Infusion rate (gtt/min) = 10000 gtt / 180 min Dividing, we get:

Infusion rate (gtt/min) = 55.56 gtt/min

Since we need to round the answer to the nearest whole number, the final answer is: Infusion rate (gtt/min) = 56 gtt/min

A. Bilateral flank pain. B. Blood pressure 184/92 mm Hg. C. Generalized urticaria. D. Distended jugular veins.

Correct Answer is C

Explanation

A. Bilateral flank pain is more indicative of a possible renal issue, not an allergic transfusion reaction.
B. Elevated blood pressure is not a typical sign of an allergic transfusion reaction.
C. Generalized urticaria (hives) is a classic manifestation of an allergic transfusion reaction.
D. Distended jugular veins are not typically associated with an allergic transfusion reaction.

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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

Correct Answer is ["56"]

Explanation

A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

Correct Answer is C

Explanation

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