Nursing fundamental practice question
Study online at https://quizlet.com/_7e7myx
1. The nurse expects a client with an elevated temperature to exhibit what
indicators of pyrexia? Select all that apply.
Dyspnea
Flushed face
Precordial pain
Increased pulse rate
Increased blood pressure: Flushed face; increased pulse rate
High body temperature will have vasodilation and increase heart rate to meat cooling
demand
2. A nurse is caring for an elderly client with dementia who has developed
dehydration as a result of vomiting and diarrhea. Which assessment best
reflects the fluid balance of this client?
1
Skin turgor
2
Intake and output results
3
Client's report about fluid intake
4
Blood lab results: Blood lab results provide objective data about fluid and elec-
trolyte status, as well as about hemoglobin and hematocrit. Skin turgor is not a
reliable indicator of hydration status for the elderly client because it is generally
decreased with age. Intake and output results provide data only about fluid balance,
but do not present a comprehensive picture of the client's fluid and electrolyte status;
therefore this is not the best answer. The client's report about fluid intake is subjective
data in general and not reliable because this client has dementia and therefore has
memory problems.
3. A senior high school student, whose immunization status is current, asks
the school nurse which immunizations will be included in the precollege phys-
ical. Which vaccine should the nurse tell the student to expect to receive?
Hepatitis C (HepC)
2
Influenza type B (HIB)
3
Measles, mumps, rubella (MMR)
1/3
Study online at https://quizlet.com/_7e7myx
1. The nurse expects a client with an elevated temperature to exhibit what
indicators of pyrexia? Select all that apply.
Dyspnea
Flushed face
Precordial pain
Increased pulse rate
Increased blood pressure: Flushed face; increased pulse rate
High body temperature will have vasodilation and increase heart rate to meat cooling
demand
2. A nurse is caring for an elderly client with dementia who has developed
dehydration as a result of vomiting and diarrhea. Which assessment best
reflects the fluid balance of this client?
1
Skin turgor
2
Intake and output results
3
Client's report about fluid intake
4
Blood lab results: Blood lab results provide objective data about fluid and elec-
trolyte status, as well as about hemoglobin and hematocrit. Skin turgor is not a
reliable indicator of hydration status for the elderly client because it is generally
decreased with age. Intake and output results provide data only about fluid balance,
but do not present a comprehensive picture of the client's fluid and electrolyte status;
therefore this is not the best answer. The client's report about fluid intake is subjective
data in general and not reliable because this client has dementia and therefore has
memory problems.
3. A senior high school student, whose immunization status is current, asks
the school nurse which immunizations will be included in the precollege phys-
ical. Which vaccine should the nurse tell the student to expect to receive?
Hepatitis C (HepC)
2
Influenza type B (HIB)
3
Measles, mumps, rubella (MMR)
1/3
