A nurse is caring for a client.
Exhibits

A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.

Osteoarthritis

Occupation

Furosemide

Hyperlipidemia

Naproxen

Answer and Explanation

Correct Answer : B,C,E

A. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the joints, particularly weight-bearing ones, but it does not have a direct impact on hearing. Therefore, it is not a risk factor for hearing impairment.

B. Occupation: Construction workers are often exposed to loud noise, which increases the risk of hearing impairment.

C. Furosemide: Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing impairment.

D. Hyperlipidemia: Hyperlipidemia, characterized by high levels of lipids in the blood, primarily affects cardiovascular health and does not directly contribute to hearing impairment. It is not considered a risk factor for hearing loss.

E. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with ototoxicity and can increase the risk of hearing impairment.

G. Lovastatin: Lovastatin is a statin used to lower cholesterol levels. While statins have side effects, they are not typically associated with ototoxicity or hearing impairment. Therefore, Lovastatin is not a risk factor for hearing loss.

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Correct Answer is B

Explanation

A. Moist skin: Dehydration typically causes dry skin due to reduced fluid volume, not moist skin. This finding is not expected in a dehydrated client.

B. Dark-colored urine: Dark-colored urine is a common sign of dehydration, as the urine becomes more concentrated when the body conserves water. This finding is expected.

C. Distended neck veins: Dehydration typically causes flat or collapsed neck veins due to decreased blood volume. Distended neck veins are more associated with fluid overload or heart failure. This finding is not expected.

D. High blood pressure: Dehydration often leads to low blood pressure due to reduced blood volume. High blood pressure is not typically associated with dehydration.

A. (Select All that Apply.) B. Crackles upon auscultation C. Urine-specific gravity greater than 1.030 D. Swelling at the IV site E. Bounding pulse

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

Explanation

A. Crackles upon auscultation: Crackles in the lungs can indicate fluid overload, leading to pulmonary edema.

B. Urine-specific gravity greater than 1.030: A urine-specific gravity greater than 1.030 typically indicates dehydration, not fluid volume excess.

C. Swelling at the IV site: Swelling at the IV site usually indicates infiltration or phlebitis, not necessarily fluid volume excess.

D. Bounding pulse: A bounding pulse is a sign of increased blood volume and can indicate fluid overload.

E. Pitting edema: Pitting edema is a common sign of fluid volume excess, particularly in the extremities.

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A nurse is caring for a client. Exhibits A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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

Explanation

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A nurse is caring for a client.
Exhibits

A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.