A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?

Distended jugular veins

Pitting, dependent edema

Decreased blood pressure

Increased blood pressure

Answer and Explanation

The Correct Answer is C

A) Distended jugular veins are associated with fluid overload, not dehydration.

B) Pitting, dependent edema is also associated with fluid overload, not dehydration.

C) Decreased blood pressure is a common sign of dehydration due to decreased blood volume.
D) Increased blood pressure is not typically associated with dehydration and may suggest other conditions such as hypertension or fluid overload.

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Correct Answer is B

Explanation

A) While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B) Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C) Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D) Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.

A. Beef stew B. Orange juice C. Kale D. Yogurt

Correct Answer is C

Explanation

A) Beef stew do not contain significant amounts of vitamin K and thus have a lesser impact on INR levels.
B) Orange juice do not contain significant amounts of vitamin K and thus have a lesser impact on INR levels.
C) Warfarin's effectiveness can be influenced by vitamin K, which is found in high amounts in kale and other green leafy vegetables. Consistent intake of vitamin K is crucial as fluctuations can affect the International Normalized Ratio (INR), a measure of blood clotting.
D) Yogurt do not contain significant amounts of vitamin K and thus have a lesser impact on INR levels.

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A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?

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A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?