A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

Dark-colored urine

Moist skin

Distended neck veins

High blood pressure

Answer and Explanation

The Correct Answer is A

A.   Dark-colored urine is a common sign of dehydration, indicating concentrated urine due to reduced water intake or excessive fluid loss.
B.   Dehydration typically causes dry or parched skin rather than moist skin.
C.   Distended neck veins are not typical findings associated with dehydration; instead, they might indicate other conditions like heart failure.
D.   Dehydration tends to cause a drop in blood pressure rather than high blood pressure due to reduced fluid volume.

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Correct Answer is A

Explanation

A. Orienting the patient to the location of the call bell and instructing on its use is crucial for patient safety and assistance, enabling them to call for help when needed.
B. Discussing the expected cost of the room per day may be important but is typically handled by the administrative or financial services staff, not part of the nursing orientation.
C. Shift change times are important for staff but are less pertinent to a patient's immediate needs and orientation to the unit.
D. While creating a comfortable and friendly atmosphere is important, addressing the patient informally by their first name should be done only if the patient expresses a preference for it; it's not part of standard orientation.

A. duodenum B. stomach C. small intestine D. large intestine

Correct Answer is C

Explanation

A. The duodenum is the first part of the small intestine but is not the primary site for vitamin B12 absorption. It's primarily absorbed in the lower part of the small intestine called the ileum.
B. While the stomach plays a role in releasing intrinsic factor that aids in B12 absorption, the actual absorption occurs in the small intestine, particularly the ileum.
C. Vitamin B12 absorption primarily occurs in the lower part of the small intestine, facilitated by intrinsic factors.
D. The large intestine is mainly responsible for water absorption and electrolyte balance, not vitamin B12 absorption.

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A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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