An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination?
a. Smooth mucous membranes and lips
b. Dry mucous membranes and cracked lips
c. Pale mucous membranes
d. White patches on the mucous membranes
ANS: B
With dehydration, mucous membranes appear dry and the lips look parched and cracked. The other responses are not found in dehydration.
You might also like to view...
The cultural pattern highly valued in American society that often results in nurses of the dominant
culture establishing unrealistic outcomes for clients of other cultural groups is a. interdependence. b. present orientation. c. using direct confrontation to solve problems. d. suspending one's own needs in favor of external obligations.
Mr. Taylor's lung cancer has recently metastasized to his bones, resulting in a sudden worsening of his prognosis and a sharp increase in his pain
Despite his earlier declarations to "fight this thing to the bitter end" and the absence of a living will, he has now informed the nurse that the only medication he now wants is for pain control. How should the care team respond to Mr. Taylor's statement? A) Maintain aggressive medical treatment until Mr. Taylor produces a written statement. B) Discontinue medical treatment if Mr. Taylor's family members unanimously agree. C) Document and honor Mr. Taylor's wishes. D) Refer the matter to the hospital's ethics committee.
Patients treated with ACE inhibitors for heart failure need to be carefully monitored for:
1. hypernatremia. 2. hyperkalemia. 3. hypertension. 4. increasing pulmonary congestion caused by the drug.
The LPN/LVN participates in an in-service about cost containment within the health care facility. Which action(s) demonstrate understanding of cost-containment principles? (Select all that apply.)
a. Telling patients to limit their usage of supplies. b. Asking the UAP to ensure correct charges for patient care items. c. Only using necessary items for patient care. d. Charging for extra patient care items that the patient may take home upon discharge. e. Documenting supplies used for patients in their patient care record.