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A nurse in the urgent care facility is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which objective findings should the nurse expect? (Select three options that apply.)

Pale yellow urine

Flat neck veins

Hypotension

Poor skin turgor

Bradycardia

Answer and Explanation

Correct Answer : B,C,D

A. Pale yellow urine would not be expected, as dehydration often leads to concentrated, dark urine.

B. Flat neck veins are a sign of dehydration and decreased fluid volume.

C. Hypotension is expected with dehydration due to a drop in circulating blood volume.

D. Poor skin turgor is a common indicator of dehydration as the skin loses elasticity.

E. Bradycardia is not expected; rather, tachycardia is more common in dehydration as the body tries to compensate for fluid loss.

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Correct Answer is B

Explanation

A. A well-defined mass is typically benign, while malignant tumors are often irregular and less defined.

B. Nipple retraction or dimpling can be a sign of a malignant tumor because cancer can cause changes in the breast's structure.

C. Stretch marks are not related to malignancy and are often a result of changes in skin elasticity.

D. Tenderness of the breast is more commonly associated with benign conditions, such as fibrocystic changes, rather than malignancy.

A. Bimanual palpation B. Deep palpation C. Percussion D. Light palpation

Correct Answer is D

Explanation

A. Bimanual palpation is used to assess organs or masses, not pulse.

B. Deep palpation is used to feel internal organs and not appropriate for assessing pulse.

C. Percussion is used to assess the density of body tissues, not for pulse assessment.

D. Light palpation is the correct technique for assessing a client's pulse, allowing the nurse to feel the arterial pulse.

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A nurse in the urgent care facility is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which objective findings should the nurse expect? (Select three options that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

Correct Answer is B

Explanation

What physical assessment technique would the nurse use to obtain a pulse on a client?

Correct Answer is D

Explanation

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