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.
Moist skin.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Airborne precautions are used for diseases that are spread by tiny droplets caused by coughing and sneezing. HIV is not spread through the air, so airborne precautions are not necessary.
Choice B rationale
Standard precautions are used for all patient care. They’re based on the principle that all blood, body fluids, secretions, excretions except sweat, non-intact skin, and mucous membranes may contain transmissible infectious agents. HIV is transmitted by direct or indirect contact with infected blood or body fluids. Therefore, the nurse should plan to implement standard precautions when caring for this patient.
Choice C rationale
Droplet precautions are used for diseases that are spread by large droplets caused by coughing, sneezing, talking, or procedures such as suctioning and bronchoscopy. HIV is not spread through these methods, so droplet precautions are not necessary.
Choice D rationale
Contact precautions are used for diseases that are spread by direct contact with the patient or indirect contact with environmental surfaces or patient care items. HIV is not spread through casual contact, so contact precautions are not necessary.
Correct Answer is B
Explanation
Choice A rationale
Unplugging the cord by holding the plug is a good practice to prevent electrical hazards, but it is not the most important action when administering intravenous fluids.
Choice B rationale
Ensuring the plug has three prongs is the most important action to prevent electrical hazards when administering intravenous fluids. A three-prong plug is grounded and reduces the risk of electrical shock.
Choice C rationale
Avoiding rolling equipment over extension cords is a good practice to prevent electrical hazards, but it is not the most important action when administering intravenous fluids.
Choice D rationale
Plugging in the pump close to the socket is a good practice to prevent electrical hazards, but it is not the most important action when administering intravenous fluids.
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