A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

Dark-colored urine

High blood pressure

Distended neck veins

Moist skin

Answer and Explanation

The Correct Answer is A

A.   Dark-colored urine is a common finding in dehydration, indicating concentrated urine.
B.   Dehydration is more likely to be associated with hypotension rather than high blood pressure.
C.   Distended neck veins are more associated with fluid overload, not dehydration.
D.   Moist skin is not a typical finding in dehydration; dry skin is more common.

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Correct Answer is A

Explanation

A. Irregular respirations, including Cheyne-Stokes breathing, are common at the end of life.
B. Moist mucous membranes may be a sign of hydration, but in the end-of-life phase, mucous membrane changes are possible, including dryness.
C. Hypertension is less likely in the end-of-life phase; blood pressure tends to decrease.
D. Tachycardia may or may not be present; it can vary depending on the individual's circumstances.

A. Stopping the transfusion B. Covering the client with a blanket C. Assessing the client's skin for a rash D. Notifying the provider

Correct Answer is A

Explanation

A. Stopping the transfusion is the priority action if the client is experiencing symptoms of a transfusion reaction.
B. Covering the client with a blanket may address chills but does not address the potential serious nature of the reaction.
C. Assessing the client's skin for a rash is important but should not delay the immediate action of stopping the transfusion.
D. Notifying the provider is important, but stopping the transfusion and addressing the immediate needs of the client take precedence.

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A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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