A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days.
Which of the following findings should the nurse expect? (Select all that apply.)

Hypotension

Bradycardia

Pale yellow urine

Poor skin turgor

Flat neck veins

Answer and Explanation

Correct Answer : A,D,E

A.   Hypotension: Frequent vomiting and diarrhea can cause dehydration, which can lead to hypotension.
B.   Bradycardia: Bradycardia is not typically a symptom of dehydration caused by vomiting and diarrhea.
C.   Pale yellow urine: Dehydration can cause urine to become concentrated, resulting in a darker color, not pale yellow.
D.   Poor skin turgor: Dehydration can cause poor skin turgor, which is skin that lacks elasticity.
E.   Flat neck veins: Dehydration can cause flat neck veins when the patient is lying supine.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Increased glucose levels can be a sign of dehydration. When the body is dehydrated, it can cause blood sugar levels to rise.

Choice B rationale

A blood creatinine level of 0.6 mg/dL is within the normal range and does not typically indicate dehydration.

Choice C rationale

An increased blood osmolarity, such as 260 mOsm/kg, can be a sign of dehydration. When the body is dehydrated, the concentration of solutes in the blood can increase, leading to higher osmolarity.

Choice D rationale

A high urine specific gravity, such as 1.035, can indicate dehydration. This measurement reflects the concentration of solutes in the urine, and a high value can mean that the body is conserving water due to dehydration.

A. The nurse allows the client to rest in a supine position during feeding. B. The nurse irrigates the NG tube with tap water after feeding. C. The nurse administers the feeding through a syringe barrel by gravity. D. The nurse initiates the feeding after aspirating 50 ml of gastric residual. E. The nurse initiates the feeding after aspirating 50 ml of gastric residual.

Correct Answer is A

Explanation

Choice A rationale

Allowing the client to rest in a supine position during feeding should prompt the charge nurse to intervene. The client should be in an upright position during feedings and for an hour afterwards to prevent aspiration.

Choice B rationale

Irrigating the NG tube with tap water after feeding is a standard practice. This helps to keep the tube patent and prevent blockages.

Choice C rationale

Administering the feeding through a syringe barrel by gravity is a common method for giving intermittent tube feedings. This method allows for controlled administration of the feeding.

Choice D rationale

Initiating the feeding after aspirating 50 ml of gastric residual is a standard practice. Checking gastric residual volume before feedings helps to assess gastric emptying and tolerance to the feeding.

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A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An LPN is reviewing the laboratory tests results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A charge nurse is observing a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions by the nurse should prompt the charge nurse to intervene?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days.
Which of the following findings should the nurse expect? (Select all that apply.)