KO is admitted with severe dehydration and electrolyte unbalances. What assessment findings are you most likely to find initially before fluid balance reaches homeostasis?
Crackles to Bilateral lobes
Tenting skin and wet mucous membranes
C Tachycardia and hypotension
+4 edema to bilateral lower extremities and confusion
The Correct Answer is C
Dehydration can cause a decrease in blood volume, leading to a drop in blood pressure (hypotension) and an increase in heart rate (tachycardia) as the body tries to compensate. Tenting skin and dry mucous membranes are also signs of dehydration, but wet mucous membranes are not. Crackles in the lungs, edema, and confusion can occur with fluid overload, but not with dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A tracheostomy is a surgical procedure that involves creating an opening in the neck to establish a direct airway to the trachea. It is usually done in patients who require long-term mechanical ventilation or have upper airway obstruction. In case the tracheostomy becomes dislodged, the following equipment should be available to ensure the patient's safety:
Tracheostomy kit setup: This includes a new tracheostomy tube, obturator, and other equipment necessary to replace the dislodged tracheostomy tube.
Suction equipment: Dislodgement of the tracheostomy tube can cause airway obstruction due to the presence of secretions. Suction equipment can be used to remove the secretions and prevent airway obstruction.
Smaller Tracheostomy Tube and Same size Tracheostomy Tube: If the dislodged tracheostomy tube cannot be reinserted or is damaged, having smaller and same size tracheostomy tubes available can be helpful in establishing a new airway.
Ambu bag: This is a manual resuscitation device used to provide positive pressure ventilation to the patient. It can be used in case the patient's breathing is compromised due to airway obstruction.
Oxygen: The patient may require supplemental oxygen if their breathing is compromised due to airway obstruction.
Larger Tracheostomy Tube: A larger tracheostomy tube may not be needed immediately and may be contraindicated in some cases as it can cause trauma to the tracheal wall.
Correct Answer is A
Explanation
The colon is responsible for absorbing water and nutrients.
I am now at high risk for fluid and electrolyte imbalances. This statement demonstrates that the patient understands the function of the gastrointestinal tract in relation to fluid and electrolyte balance. The colon plays an important role in absorbing water and electrolytes from digested food, and after a large portion of the colon has been removed, the patient may be at higher risk for fluid and electrolyte imbalances.
Received message. The correct option is a. The colon is responsible for absorbing water and nutrients. I am now at high risk for fluid and electrolyte imbalances. This statement demonstrates that the patient understands the function of the gastrointestinal tract in relation to fluid and electrolyte balance. The colon plays an important role in absorbing water and electrolytes from digested food, and after a large portion of the colon has been removed, the patient may be at higher risk for fluid and electrolyte imbalances.
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