Author Question: The nurse caring for a client diagnosed with dehydration best assesses hydration by: 1. Checking ... (Read 118 times)

joblessjake · **on:** Jul 22, 2018

The nurse caring for a client diagnosed with dehydration best assesses hydration by:

1. Checking tenting on both of the arms.
2. Checking tenting on the top of the hand.
3. Measuring the client's head circumference.
4. Checking skin tenting on the upper chest.

Question 2

The nurse is caring for several clients who have student nurses assigned to their care. The licensed nurse understands that omission of ordered medication commonly occurs in the following situations: Standard Text: Select all that apply.

1. Nonstandard dosage times
2. Lack of accurate, prompt documentation
3. Packaging of medications
4. Preparing drugs for multiple clients
5. Changes in laboratory values

Pariscourtney · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: The best way to check skin turgor is to check skin tenting on the upper chest in older adults, because the skin on their hands will have reduced elasticity and will not recoil promptly, even when normally hydrated.

Answer to Question 2

1,2
Rationale: Many omissions occur when a medication is to be administered at an unusual time, such as early in the morning.