A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

Pale yellow urine

Bradycardia

Poor skin turgor

Flat neck veins

Hypotension

Answer and Explanation

Correct Answer : C,D,E

A.   In cases of dehydration, urine output may decrease, resulting in a more concentrated urine that appears darker in color. Therefore, the nurse may expect the urine to be darker in color.
B.   Tachycardia is more commonly observed due to dehydration and the body's compensatory mechanisms.
C.   Poor skin turgor is a classic sign of dehydration and may be observed in clients with vomiting and diarrhea.
D.   Flat neck veins are typically associated with dehydration. This occurs due to reduced intravascular volume leading to collapse of the veins.
E.   Hypotension is commonly associated with dehydration resulting from vomiting and diarrhea. Loss of fluids and electrolytes can lead to decreased blood volume and subsequent hypotension.

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Correct Answer is A

Explanation

Telephone the interpreter that is designated for the facility to interpret the information is a preferred option as it ensures accuracy and confidentiality in communication.
B. While involving the client's partner may seem convenient, it is not the preferred option for several reasons.
C. While having a colleague who speaks the same language as the client can be helpful, it is not always a reliable option.
D. While electronic translating services can provide a quick solution, they may not always accurately translate medical terminology or convey the nuances of communication.

A. "You should decrease the proteins in your diet." B. "You should decrease the dairy products in your diet." C. "You should increase the calories in your diet." D. "You should increase the fiber in your diet."

Correct Answer is B

Explanation

Dairy products contain lactose, and individuals with lactose intolerance often experience gastrointestinal symptoms such as bloating, gas, and diarrhea after consuming dairy. Advising the client to decrease dairy products in their diet can help alleviate these symptoms and manage lactose intolerance effectively.

A, C, D do not directly relate to lactose intolerance.

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A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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