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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","C","D","E"]

Explanation

A. Discharge from the eyes is generally a symptom of infection or irritation and not a specific age-related condition.

B. Presbyopia is the age-related loss of near vision, common in older adults.

C. Cataracts, which involve clouding of the lens, are commonly seen with aging.

D. Xanthelasma is a condition in which yellowish deposits of fat form under the skin, usually around the eyes, and it is often seen in older adults.

E. Macular degeneration, which affects central vision, is a common condition in older adults.

A. Patient B. Patient's roommate C. Certified Nursing Assistant (CNA) D. Nurse

Correct Answer is A

Explanation

A. The patient is the primary source of information regarding their pain tolerance, as pain is subjective and only the patient can accurately describe their experience.

B. A patient's roommate cannot reliably report on the patient's pain experience.

C. The CNA may observe signs of pain but cannot determine the patient's subjective pain tolerance.

D. The nurse can assess the patient's pain based on behaviors and reports but relies on the patient for direct information.

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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.)

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Naxlex Comprehensive Predictor Exams

The nurse is admitting a client to the urgent care center. When taking a health history of an older adult client, the nurse would inquire about a history of which eye conditions. Select the four options that apply.

Correct Answer is ["B","C","D","E"]

Explanation

When collecting data, the nurse understands which individual is the primary source of information regarding pain tolerance.

Correct Answer is A

Explanation

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