A nurse is collecting data from a patient who has dehydration.
What findings should the nurse expect?

Dark-colored urine.

High blood pressure.

Distended neck veins.

Moist skin.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Dark-colored urine is a common symptom of dehydration. When a person is dehydrated, their kidneys try to conserve water by concentrating the urine, which can make it appear darker. Choice B rationale

High blood pressure is not typically associated with dehydration. In fact, dehydration can sometimes lead to low blood pressure due to a decrease in blood volume.

Choice C rationale

Distended neck veins are not typically a symptom of dehydration. They are more commonly associated with conditions that cause fluid overload, such as heart failure.

Choice D rationale

Moist skin is not typically a symptom of dehydration. In fact, one of the symptoms of severe dehydration can be dry, cool skin.

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

Explanation

Choice A rationale

An increased blood osmolarity, such as 260 mOsm/kg, can be a sign of dehydration. When the body is dehydrated, the concentration of solutes in the blood can increase, leading to higher osmolarity.

Choice B rationale

Hypotension, or low blood pressure, is not typically a sign of dehydration. In fact, dehydration can often cause blood pressure to increase due to the body’s efforts to compensate for the lack of fluid.

Choice C rationale

A high urine specific gravity, such as 1.035, can indicate dehydration. This measurement reflects the concentration of solutes in the urine, and a high value can mean that the body is conserving water due to dehydration.

Choice D rationale

An elevated blood sodium level, such as 150 mEq/L, can be a sign of dehydration. When the body is dehydrated, the concentration of sodium in the blood can increase.

A. Performing hand hygiene frequently and consistently B. Properly disposing of contaminated equipment C. Discarding used syringes in appropriate containers D. Changing soiled linens daily for patients with draining wounds E. Changing soiled linens daily for patients with draining wounds

Correct Answer is A

Explanation

Choice A rationale

Performing hand hygiene frequently and consistently is the most effective way to prevent the spread of pathogens during patient care. Hand hygiene is the single most important measure to reduce the transmission of harmful germs and prevent health care-associated infections.

Choice B rationale

Properly disposing of contaminated equipment is important in preventing the spread of pathogens, but it is not the most effective measure. While it is crucial to handle and dispose of contaminated equipment properly, hand hygiene is the most effective measure in preventing the spread of pathogens.

Choice C rationale

Discarding used syringes in appropriate containers is a standard safety measure in healthcare settings, but it is not the most effective way to prevent the spread of pathogens during patient care. While it is important for preventing needlestick injuries and the spread of bloodborne pathogens, hand hygiene is the most effective measure in preventing the spread of pathogens.

Choice D rationale

Changing soiled linens daily for patients with draining wounds is a part of standard wound care and infection control, but it is not the most effective way to prevent the spread of pathogens during patient care. Hand hygiene remains the most effective measure in preventing the spread of pathogens.

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A nurse is collecting data from a patient who has dehydration. What findings should the nurse expect?

Choice A rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

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

Explanation

Choice A rationale

Choice C rationale

Choice D rationale

A nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit. Which of the following is the most effective way to prevent the spread of pathogens during patient care?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Which of the following statements is true regarding intermittent feeding?

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An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration? (Select all that apply)

A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

An LPN is reviewing the laboratory tests results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

A nurse is collecting data from a patient who has dehydration.
What findings should the nurse expect?