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 B

Explanation

A: Hypervolemia is often associated with increased fluid volume, which typically results in an increased heart rate (tachycardia), not bradycardia.
B: Peripheral edema is a common manifestation of hypervolemia due to the excess fluid in the extracellular space.
C: Hypervolemia is more likely to cause increased blood pressure (hypertension), not hypotension.
D: Oliguria (decreased urine output) is associated with hypovolemia, not hypervolemia.

A. Client has an NG tube to gastric suction. B. Client reports drinking 3.5 to 4 L of water each day. C. Client has a history of alcohol abuse disorder, D. Client is currently prescribed spironolactone

Correct Answer is A

Explanation

A. Hypokalemia can be caused by excessive loss of potassium from the gastrointestinal tract, such as from vomiting, diarrhea, or gastric suction.
B. Drinking a large amount of water is more likely to dilute sodium levels rather than potassium.
C. Alcohol abuse disorder is not a direct cause of low potassium levels.
D. Spironolactone is a potassium-sparing diuretic, and its use can lead to hyperkalemia, not hypokalemia.

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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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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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