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

Urine output 20 mL/hr

Bradycardia

Sodium 142 mEq/L

Cool skin

Answer and Explanation

The Correct Answer is A

A. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.

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Correct Answer is C

Explanation

A. 45°: This angle is typically used for subcutaneous injections, not intramuscular injections.
B. 75°: This angle is not standard for any type of injection.
C. 90°: Correct. Intramuscular injections should be administered at a 90-degree angle to ensure the medication reaches the muscle tissue.
D. 60°: This angle is not standard for intramuscular injections.

A. "You can expect fecal output within 24 hours." B. "You may experience a small amount of bleeding around the stoma." C. "You can expect the stoma to be purplish in color for the first week. D. "You will need to increase your dietary intake of raw vegetables."

Correct Answer is B

Explanation

A. "You can expect fecal output within 24 hours." Fecal output usually occurs within 2-4 days after surgery, not within 24 hours.
B. "You may experience a small amount of bleeding around the stoma." A small amount of bleeding around the stoma is normal, especially right after surgery.
C. "You can expect the stoma to be purplish in color for the first week." A healthy stoma should be pink to red. A purplish color could indicate poor blood supply and should be reported.
D. "You will need to increase your dietary intake of raw vegetables." Raw vegetables can cause gas and obstruction; clients are usually advised to avoid them initially.

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

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