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 ["125"]

Explanation

Identify the given values:
- Total volume = 1000 mL
- Total infusion time = 8 hours
Use the formula for infusion rate:

Infusion Rate (mL/hr) = Total Volume (mL) ÷ Total Time (hours)

Infusion Rate = 1000 mL ÷ 8 hours

Infusion Rate = 125 mL/hr

Final Answer:

The nurse should set the IV pump to 125 mL/hr for the 0.45% NaCl solution

A. Client has an NG tube to gastric suction. B. Client reports drinking 3.5 to 4 L of water each day. C. Client has a history of alcohol abuse disorder, D. Client is currently prescribed spironolactone

Correct Answer is A

Explanation

A. Hypokalemia can be caused by excessive loss of potassium from the gastrointestinal tract, such as from vomiting, diarrhea, or gastric suction.
B. Drinking a large amount of water is more likely to dilute sodium levels rather than potassium.
C. Alcohol abuse disorder is not a direct cause of low potassium levels.
D. Spironolactone is a potassium-sparing diuretic, and its use can lead to hyperkalemia, not hypokalemia.

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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

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["125"]

Explanation

A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?

Correct Answer is A

Explanation

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