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 ["B","D","E"]

Explanation

A. Urine-specific gravity greater than 1.030 is indicative of concentrated urine and is more associated with dehydration, not fluid volume excess.
B. Pitting edema is a classic sign of fluid volume excess, indicating an accumulation of fluid in the interstitial spaces.
C. Swelling at the IV site may be related to local inflammation or extravasation of fluids but is not specific to fluid volume excess.
D. Crackles upon auscultation suggest fluid accumulation in the lungs, which is a common finding in fluid volume excess.
E. A bounding pulse is often associated with increased stroke volume and can be a sign of fluid volume excess.

A. Inability to form healthy relationships B. Bedwetting C. Overeating D. Feelings

Correct Answer is C

Explanation

A. This is more related to psychological changes rather than physiological changes in older adults.
B. Bedwetting is not a typical physiological change in older adults. It is more commonly associated with children.
C. Older adult clients might experience changes in their appetite and metabolism that can lead to overeating and obesity. This can increase the risk of chronic diseases such as diabetes, hypertension, and cardiovascular problems.
D. While emotional changes may occur, the term "feelings" is too broad. Physiological changes are more specific to bodily functions.

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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 assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

Correct Answer is C

Explanation

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