A client with gastroenteritis is experiencing dehydration. The nurse should monitor for which signs of dehydration?
Hypertension and tachycardia.
Bradycardia and pale skin.
Increased urine output.
Dry mucous membranes and sunken eyes.
The Correct Answer is D
Choice A rationale:
Hypertension and tachycardia are not typical signs of dehydration. Dehydration often leads to decreased blood volume, resulting in hypotension and tachycardia as the body tries to compensate for the fluid loss.
Choice B rationale:
Bradycardia and pale skin are not consistent with dehydration. Dehydration usually leads to an increased heart rate (tachycardia) as the body attempts to maintain circulation despite decreased fluid levels.
Choice C rationale:
Increased urine output is not indicative of dehydration. Dehydration typically leads to decreased urine output (oliguria) as the body conserves fluid in response to the loss.
Choice D rationale:
Dry mucous membranes and sunken eyes are classic signs of dehydration. When fluid intake is insufficient, the body conserves water by reducing saliva and other secretions, resulting in dry mucous membranes. Sunken eyes can occur due to decreased fluid volume and loss of tissue turgor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Avoiding handwashing after using the toilet would increase the risk of transmitting infection, as proper hand hygiene is essential to prevent the spread of pathogens.
Choice B rationale:
Sharing personal items with family members can contribute to the transmission of infections. It is important to discourage this behavior.
Choice C rationale:
Washing fruits and vegetables before eating helps remove potential contaminants and pathogens, reducing the risk of ingesting harmful microorganisms.
Choice D rationale:
Using the same cup as a friend to drink can lead to the spread of infections through direct contact with contaminated surfaces. It is advisable to use separate utensils and containers to prevent transmission.
Correct Answer is D
Explanation
Choice A rationale:
Hypertension and tachycardia are not typical signs of dehydration. Dehydration often leads to decreased blood volume, resulting in hypotension and tachycardia as the body tries to compensate for the fluid loss.
Choice B rationale:
Bradycardia and pale skin are not consistent with dehydration. Dehydration usually leads to an increased heart rate (tachycardia) as the body attempts to maintain circulation despite decreased fluid levels.
Choice C rationale:
Increased urine output is not indicative of dehydration. Dehydration typically leads to decreased urine output (oliguria) as the body conserves fluid in response to the loss.
Choice D rationale:
Dry mucous membranes and sunken eyes are classic signs of dehydration. When fluid intake is insufficient, the body conserves water by reducing saliva and other secretions, resulting in dry mucous membranes. Sunken eyes can occur due to decreased fluid volume and loss of tissue turgor.
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