A nurse is caring for a client with suspected viral gastroenteritis. What assessment finding should the nurse prioritize?
Skin turgor and mucous membranes
Blood pressure and heart rate
Urinary output and specific gravity
Respiratory rate and lung sounds
The Correct Answer is A
A) Correct. Skin turgor and mucous membranes are important indicators of hydration status, which is a critical concern in clients with gastroenteritis.
B) Incorrect. While blood pressure and heart rate are important vital signs, they may not provide immediate information about the client's hydration status.
C) Incorrect. Urinary output and specific gravity are important indicators of renal function, but they may not provide immediate information about the client's hydration status.
D) Incorrect. Respiratory rate and lung sounds are important assessments, but they may not provide immediate information about the client's hydration status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Skin turgor and mucous membranes are important indicators of hydration status, which is a critical concern in clients with gastroenteritis.
B) Incorrect. While blood pressure and heart rate are important vital signs, they may not provide immediate information about the client's hydration status.
C) Incorrect. Urinary output and specific gravity are important indicators of renal function, but they may not provide immediate information about the client's hydration status.
D) Incorrect. Respiratory rate and lung sounds are important assessments, but they may not provide immediate information about the client's hydration status.
Correct Answer is B
Explanation
A) Incorrect. Consuming large meals can lead to increased pressure on the lower esophageal sphincter, potentially exacerbating symptoms of GERD.
B) Correct. Avoiding lying down for at least 2 hours after meals can help prevent acid reflux and heartburn by allowing the stomach to properly digest food.
C) Incorrect. Spicy foods can trigger heartburn in some individuals, so they should be avoided or consumed in moderation in those with GERD.
D) Incorrect. Engaging in vigorous exercise immediately after meals may exacerbate symptoms of GERD. It is advisable to wait until digestion is underway before participating in strenuous physical activity.
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