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","B","C","D","E"]

Explanation

Supporting the client's rituals can provide comfort and dignity during this challenging time. It honors their preferences and cultural or religious beliefs, contributing to their overall well-being.

Having loved ones present can offer emotional support to both the client and their family members during the withdrawal of MANH. It allows for meaningful connections and facilitates closure.

Providing mouth sponges with preferred flavors can help alleviate dryness and discomfort in the oral cavity that may occur after the withdrawal of MANH. It promotes comfort and enhances the client's quality of life.

Spiritual support can be valuable for clients and their families during the end-of-life process. If the client desires spiritual guidance or support, arranging for a visit from a spiritual advisor can address their spiritual needs and provide comfort.

Suctioning the oral cavity for pooling secretions can help maintain the client's comfort and prevent aspiration, particularly if the client is unable to swallow effectively. It supports respiratory hygiene and comfort.

A. Ask the client to bring all the medications and supplements to an interview. B. Ask the caregiver whether the client is taking prescribed medications. C. Ask the client to identify which medications are taken every day D. Ask the client about the use of any over-the-counter medications.

Correct Answer is A

Explanation

Ask the client to bring all the medications and supplements to an interview involves direct visual confirmation of all medications and supplements the client is currently taking. It allows the nurse to verify the actual medications being used, including prescription medications from multiple providers, over-the-counter medications, and supplements.
B. While caregivers can provide valuable information about the client's medication regimen, relying solely on their input may not always be accurate.
C. While it provides information about daily medications, it may not capture medications taken on an as- needed basis or those prescribed intermittently.
D. Inquiring about over-the-counter medications is essential as they can interact with prescribed medications and affect the overall medication regimen. However, this method alone may not capture the entirety of the client's medication regimen, particularly prescription medications from multiple providers.

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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.)

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Naxlex Comprehensive Predictor Exams

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

Explanation

During an assessment, the nurse determines that a client sees more than one primary care provider and has obtained prescriptions from each provider. Which method would be most appropriate to determine a client's current medication regimen?

Correct Answer is A

Explanation

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