A 76-year-old patient is admitted with vomiting and diarrhea of 3 days' duration. Besides assessing skin condition when looking for signs of dehydration, the nurse would look for: (select all that apply.)
dull, sunken eyes
full bounding pulse
small amount of darkly colored urine
dry mucous membranes
Correct Answer : A,C,D
A. dull, sunken eyes: Sunken eyes are a classic sign of dehydration.
B. full bounding pulse: A full bounding pulse is more indicative of fluid overload, not dehydration.
C. small amount of darkly colored urine: Dehydration causes concentrated urine due to low fluid volume.
D. dry mucous membranes: Dry mucous membranes are an early and reliable sign of dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bile production: Bile production occurs in the liver and is not directly related to calcium.
B. Blood clotting: Calcium plays a crucial role in the clotting cascade by helping activate clotting factors.
C. Urine production: Urine production is regulated by the kidneys and involves water and electrolyte balance, not directly calcium.
D. Blood production: Blood cell production (hematopoiesis) occurs in the bone marrow and is not calcium-dependent.
Correct Answer is D
Explanation
A. none of the answers are correct: One of the listed answers (isotonic) is
B. hypotonic: Hypotonic fluids cause water to move into cells, potentially leading to cellular swelling.
C. isotonic: Isotonic fluids (e.g., 0.9% NaCl) have the same osmolarity as plasma and expand extracellular volume without causing fluid shifts.
D. hypertonic: Hypertonic fluids draw water out of cells, causing cellular dehydration.
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