A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?

Decreased hematocrit

Decreased specific gravity of urine

Increased skin turgor

Increased pulse rate

Answer and Explanation

The Correct Answer is D

A. Decreased hematocrit may be seen in fluid volume excess, not deficit.

B. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit.
C. Increased skin turgor is a clinical manifestation of fluid volume deficit.

D. Increased pulse rate is a compensatory response to fluid volume deficit, reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.

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Correct Answer is ["A","C","D"]

Explanation

A. Date of birth is a commonly used identifier to confirm the client's identity.

B. Diagnosis is not an appropriate identifiers for confirming a client's identity.

C. Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room number is not an appropriate identifiers for confirming a client's identity.

A. Tell the child that it will not hurt. B. Have the parent hold tightly onto the child during the procedure. C. Allow the child to operate the equipment. D. Defer taking the blood pressure until the next visit.

Correct Answer is C

Explanation

A. Telling the child that it will not hurt may not be effective, as children may still have anxiety or fear related to the unknown.

B. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure.
C. Allowing the child to operate the equipment can give the child a sense of control and involvement, increasing cooperation.
D. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.

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A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is C

Explanation

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