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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Recommending a psychiatric consult is premature and not appropriate for routine anxiety during an assessment.
B. Starting with invasive aspects may increase the client's anxiety. Instead, the nurse should ease the client into the exam.
C. Staying with the client at all times may not be necessary and could make the client feel more uncomfortable.
D. Using a relaxed manner and reassuring the client can help reduce anxiety and make the physical assessment more comfortable.
Correct Answer is ["0.8"]
Explanation
To administer the correct dose of morphine sulfate, which is prescribed at 8 mg stat, and given that the medication ampule concentration is 10 mg/mL, the nurse would need to calculate the volume of medication to administer. The calculation is based on the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Therefore, for an 8 mg dose, the nurse would prepare 0.8 mL of morphine sulfate to administer, rounding to the nearest tenth.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
