A nurse is assessing a client who reports taking a medication that causes increased urination resulting in dehydration for the past 3 days. Which findings should the nurse expect in a client who is dehydrated? (Select all that apply.)
Pale yellow urine
Poor skin turgor
Hypotension
Flat neck veins
Bradycardia
Correct Answer : B,C,D
A. Pale yellow urine is typically associated with good hydration; dehydration would likely result in darker urine.
B. Poor skin turgor is a classic sign of dehydration, indicating a lack of adequate fluid in the tissues.
C. Hypotension (low blood pressure) can occur with dehydration due to decreased blood volume.
D. Flat neck veins may indicate a decrease in venous return due to low blood volume associated with dehydration.
E. Bradycardia (slow heart rate) is not typically a finding associated with dehydration; instead, dehydration often leads to tachycardia (increased heart rate) as the body attempts to compensate for low blood volume.
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Correct Answer is D
Explanation
A. Presbyopia refers to age-related difficulty in seeing close objects due to loss of elasticity in the lens, not distance vision.
B. Astigmatism is a condition caused by an irregular curvature of the eye, leading to blurred vision at any distance.
C. Hyperopia (farsightedness) is the inability to see close objects clearly, not distant ones.
D. Myopia (nearsightedness) is the condition where a person cannot see objects at a distance clearly, making it the correct term for this finding.
Correct Answer is D
Explanation
A. A pustule is a small elevation of the skin that contains pus, typically smaller than 0.5 cm.
B. A macule is a flat, discolored area of skin that is less than 0.5 cm in diameter, so it does not fit the description of elevated lesions larger than 0.5 cm.
C. A papule is an elevated, solid lesion that is less than 0.5 cm in diameter; lesions larger than this would not be classified as papules.
D. A patch is defined as a flat, non-palpable lesion larger than 0.5 cm, and psoriasis can present as patches. Thus, the lesions described fit this classification.