A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Increased heart rate

Excessive thirst

Moist oral mucous membranes

Decreased blood pressure

Answer and Explanation

The Correct Answer is C

A.   An increased heart rate can be a sign of dehydration and would not indicate that IV fluid replacement has been effective.
B.   Excessive thirst is a symptom of dehydration and would not indicate that IV fluid replacement has been effective.
C.   Moist oral mucous membranes indicate improved hydration status and are a positive response to IV fluid replacement.
D.   Decreased blood pressure is a sign of dehydration and would not indicate that IV fluid replacement has been effective.

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Correct Answer is C

Explanation

Nausea is a common side effect of lisinopril but does not typically require immediate reporting unless severe or persistent.
Dry cough is a common side effect of lisinopril but does not typically require immediate reporting unless severe or persistent.
Eyelid edema can indicate angioedema, a serious adverse reaction to lisinopril that requires immediate medical attention.
Insomnia is not a common side effect of lisinopril and does not typically require immediate reporting.

A. “I will consume foods that are soft or semisolid." B. "I will avoid consuming alcoholic beverages." C. “I will perform oral hygiene using a firm-bristle toothbrush." D. “I will rinse my mouth with saline every 2 hours while awake" E. None F. None

Correct Answer is B

Explanation

A. “I will consume foods that are soft or semisolid." While soft or semisolid foods may be easier to eat if the gums are sore, dietary modifications are not the primary focus of gingivitis management. Proper oral hygiene and avoiding irritants are more crucial. B. "I will avoid consuming alcoholic beverages." Alcohol can contribute to oral irritation, dry mouth, and worsening gingivitis. Avoiding alcohol helps reduce gum inflammation and promotes healing. C. “I will perform oral hygiene using a firm-bristle toothbrush." A firm-bristle toothbrush can cause gum irritation and worsen gingival inflammation. A soft-bristle toothbrush is recommended to clean the teeth effectively while protecting the gums. D. “I will rinse my mouth with saline every 2 hours while awake." Although saline rinses can help with minor oral irritation, frequent rinsing is not necessary for gingivitis. Instead, proper brushing, flossing, and using an antimicrobial mouthwash are more effective in managing the condition.

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A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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