The nurse is performing a head-to-toe assessment on an older ...

[mia]

The nurse is performing a head-to-toe assessment on an older adult client who was admitted to the hospital with dehydration. Which findings are consistent with this condition? Select all that apply.
 
  1. Tenting noted on dorsal aspect of client's hand when skin turgor was assessed.
  2. Client has produced 175 milliliters of urine over the last 8 hours.
  3. Dentures are loose, small sores noted in oral mucosa.
  4. Healthcare provider notes client is exhibiting xerostomia.
  5. Client's apical heart rate is 82 beats per minute.

Question 2

The pediatric client is prescribed an antibiotic for an acute middle ear infection. The child weighs 38 pounds. The antibiotic is available as 200 milligrams in 5 milliliters (mL).
 
  The health care provider writes an order for the client to receive 45 milligrams per 1 kilogram of body weight each day, divided in three equal doses. Calculate the amount of medicine the child should receive per dose.
  _______ mL.
  Round to the tenths place.

[Sophiapenny]

Answer to Question 1

Correct Answer: 2, 3, 4
The client is not producing an adequate amount of urine, which may indicate the client is dehydrated. The client should have produced at least 240 milliliters over the last 8 hours. The client with loosely fitting dentures and sores on the oral mucosa may be experiencing dehydration. The client with xerostomia is not producing saliva and this can be associated with dehydration. Tenting is not an appropriate way to monitor for dehydration in the older adult client due to loss of skin elasticity. The client's heart rate is within normal limits and does not indicate that the client is dehydrated.

Answer to Question 2

Correct Answer: 6.5 mL

[mia]

Thank you

[Sophiapenny]

No problemo