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 B

Explanation

A. "I should choose 1 ounce of almonds when I am hungry midday." While almonds do contain fiber, they are not the highest-fiber option compared to bran cereal.
B. "My breakfast choice is 1⁄2 cup of bran cereal." Bran cereal is an excellent source of dietary fiber and is highly recommended for managing constipation.
C. "I will select a 1⁄2 cup of sweet potatoes for my starch." Sweet potatoes contain fiber, but they are not as high in fiber as bran cereal.
D. "One medium apple would be a good snack option." Apples are a good source of fiber, but bran cereal provides a higher fiber content per serving.

A. Observe the client. B. Complete an incident report. C. Notify the nurse manager. D. Call the client's provider.

Correct Answer is A

Explanation

A. Observe the client. The first priority is to monitor the client for any adverse reactions or side effects from the wrong medication.
B. Complete an incident report. While important, the incident report is not the first action to take.
C. Notify the nurse manager. Informing the nurse manager is necessary, but not the immediate first step.
D. Call the client's provider. Notifying the provider is also important but observing the client for any immediate effects takes precedence.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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