Author Question: Which sign(s) and/or symptom(s) of dehydration may occur as a result of a diuretic? (Select all that ... (Read 47 times)

eruditmonkey@yahoo.com · **on:** Jul 24, 2018

Which sign(s) and/or symptom(s) of dehydration may occur as a result of a diuretic? (Select all that apply.)

a. Decreased urine specific gravity
b. Skin remains peaked on turgor assessment
c. Bounding peripheral pulses
d. Neck vein engorgement
e. Soft, sunken eyeballs

Question 2

A patient who has heart failure and difficulty breathing is being admitted. Which physical assessment(s) indicate(s) fluid volume excess? (Select all that apply.)

a. Rapid, bounding, irregular pulse rate
b. Clear lung sounds
c. 3+ pitting ankle edema
d. Neck vein engorgement
e. Shortness of breath

tanna.moeller · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B, E
A sign of dehydration is skin that is nonelastic or does not return to normal position when pulled taut on assessment. A sign of dehydration is eyeballs that appear soft or sunken. Dehydrated patients have a urine specific gravity and weak pulses. Overhydrated patients have engorged neck veins.

Answer to Question 2

ANS: A, C, D, E
The patient with overhydration caused by heart failure often presents with a rapid and irregular pulse rate, peripheral and abdominal edema, distended neck veins, dyspnea and adventitious breath sounds of crackles and/or rhonchi in lung fields.