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 D
Explanation
A: Palliative care includes holistic care, but it's not primarily focused on managing meals.
B: Palliative care can be provided at various locations, including the client's home, not necessarily a skilled facility.
C: While palliative care may support caregivers, its primary focus is on the comfort and well-being of the client.
D: Palliative care aims to make the client comfortable physically, emotionally, and spiritually during a terminal illness.
Correct Answer is ["A","C","E"]
Explanation
A. Elevated oral temperature may indicate a fever and requires further assessment.
B. This blood pressure value is within the normal range.
C. An elevated heart rate (108/min) suggests tachycardia, and it requires further investigation to determine the cause.
D. A respiratory rate of 22/min is not a finding that raises concern.
E. A pulse oximetry reading of 90% on supplemental oxygen (40% O2) is below the expected range, indicating potential respiratory distress and requiring immediate attention.
F. Pink mucous membrane is a normal finding.
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