A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?
Decreased hematocrit
Decreased specific gravity of urine
Increased skin turgor
Increased pulse rate
The Correct Answer is D
A. Decreased hematocrit may be seen in fluid volume excess, not deficit.
B. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit.
C. Increased skin turgor is a clinical manifestation of fluid volume deficit.
D. Increased pulse rate is a compensatory response to fluid volume deficit, reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Having vision checked is a positive step to prevent falls by addressing potential visual impairments.
B. Wearing socks when getting out of bed increases the risk of slipping, indicating a need for further teaching.
C. Placing a safety bar near the toilet is a preventive measure against falls.
D. Putting a night-light in the hallway helps improve visibility and reduce the risk of tripping
Correct Answer is D,A,B,C
Explanation
Correct order: D A B C
D. Ask about the type of tobacco product used.
A. Teach the client cessation strategies.
B. Develop a cessation plan with the client.
C. Assist the client in modifying the plan if necessary.
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