Which client is at greatest risk for dehydration?
A. The younger adult client with immobility
B. The older adult client receiving hypotonic IV fluid
C. The younger adult client receiving hypertonic IV fluid
D. The older adult client with cognitive impairment
D
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What are the fluid compartment consequences of isotonic dehydration?
A. ECF compartment volume contracts, ICF volume contracts
B. ECF compartment volume contracts, ICF volume remains the same
C. ECF compartment volume expands, ICF volume contracts
D. ECF compartment volume expands, ICF volume remains the same
,B
What are the fluid compartment consequences of hypertonic dehydration?
A. ECF compartment volume contracts, ICF volume contracts
B. ECF compartment volume contracts, ICF volume remains the same
C. ECF compartment volume expands, ICF volume contracts
D. ECF compartment volume expands, ICF volume remains the same
C
The client has been diagnosed with hypotonic dehydration. Which
assessment finding should the nurse expect?
A. Flattened hand veins when the hand is positioned above the heart
B. Increased urine output, decreased urine specific gravity
C. Nonpitting dependent edema
D. Poor handgrip strength
,D
Which is the most important question the nurse should ask the client who has
been diagnosed with isotonic dehydration to identify a possible cause of the
fluid imbalance?
A. “Do you take diuretics or 'water pills'?”
B. “What and how much do you normally eat over a day's time?”
C. “How many bowel movements do you usually have each day?”
D. “Have you or any member of your family been diagnosed with diabetes
mellitus?”
A
Which choice of mouth care product or technique is best for the nurse to use
every 2 hours when providing mouth care for the client with dehydration who
has a dry, sticky mouth?
A. A commercial, alcohol-based mouthwash
B. A dilute solution of 50% hydrogen peroxide and 50% normal saline
, C. Lemon and glycerol swabs
D. Warm tap water
D
With which client should the nurse be most alert for the possibility of
hypertonic dehydration?
A. 52-year-old woman with excessive wound bleeding 4 hours after surgery
B. 55-year-old man with diabetes mellitus in ketoacidosis
C. 80-year-old woman with chronic heart failure
D. 60-year-old man with severe malnutrition
B
Which blood electrolyte level is most important to monitor in the client who has
hypertonic dehydration?
A. Sodium
B. Potassium