After receiving change-of-shift report, which client does the RN assess first?*1 pointa. A client with nausea and vomiting who complains of abdominal crampsb. A client with a nasogastric (NG) tube who has dry oral mucosa and is complaining of thirstc. A client receiving intravenous (IV) diuretics whose blood pressure is 88/52 mm Hgd. A client with normal saline infusing at 150 mL/hr whose hourly urine output has been averaging 75 mL

A client has been diagnosed with overhydration and is confused. Which intervention does the nurse include in the client's plan of care to relieve the confusion?*1 pointa. Measuring intake and output every shiftb. Slowing the IV flow rate to 50 mL/hrc. Administering diuretic agents as prescribedd. Placing the client in Trendelenburg position

The RN is assessing a 70-year-old client admitted to the unit with severe dehydration. Which finding requires immediate intervention by the nurse?*1 pointa. Client behavior that changes from anxious to lethargicb. Deep furrows on the surface of the tonguec. Poor skin turgor with tenting remaining for 2 minutes after the skin is pinchedd. Urine output of 950 mL for the past 24 hours

A nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?*1 pointa. Has had diabetes mellitus for 12 yearsb. Uses sodium-containing antacids frequentlyc. Just received 3 units of packed red blood cellsd. Had abdominal surgery and has a nasogastric tube

The nurse is performing an assessment on a client admitted to the hospital with a diagnosis of dehydration. Which assessment finding would the nurse expect to note?

62) A nurse is caring for a client who is in the progressive stage of shock. Which findingshould the nurse expect?(a) Blood pressures change from 129/78 (95) to 89/45 (60)(b) Blood pressures change from 95/55 (68) to 90/52 (65)(c) Blood pressures change from 100/50 (67) to 90/45 (60)(d) Blood pressure reading is undetectable