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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.)

A.

Pale yellow urine

B.

Poor skin turgor

C.

Hypotension

D.

Flat neck veins

E.

Bradycardia

Question Solution

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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View Related questions

Correct Answer is A

Explanation

A. Vitamin D deficiency is a modifiable risk factor because it can be addressed through dietary changes, supplements, and increased sun exposure.

B. A small-boned, thin frame is considered a nonmodifiable risk factor as it is a genetic characteristic that cannot be changed.

C. A personal history of fractures is also a nonmodifiable risk factor, as past fractures indicate an increased risk for future fractures and cannot be altered.

D. Age is a nonmodifiable risk factor, as it is an intrinsic characteristic that cannot be changed.

Correct Answer is ["D","F"]

Explanation

A. This statement indicates complete paralysis of both sides, which does not apply to hemiparesis, where one side is affected.


B. While this could describe some patients, it does not accurately represent "complete" right-sided hemiparesis.


C. This option is a repeat and also does not accurately reflect complete right-sided hemiparesis.


D. Weakness on the right side of the face and tongue is consistent with right-sided hemiparesis, as the stroke may affect motor control in those areas.


E. This describes a client who is less severely affected and may not apply to someone with complete right-sided hemiparesis.


F. Weakness on the right side of the body is a direct characteristic of right-sided hemiparesis.

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