NR 228 EDAPT FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 228 EDAPT FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) The nurse is caring for several residents in a skilled nursing facility. New protocols were put in place to reduce the instances of dehydration in the residents. Which client will the nurse closely assess for dehydration? Correct Answer The client who has lost three pounds in a day and has dry lips An older adult who is normally alert and oriented has become increasingly confused for no apparent reason. The nurse plans to conduct a focused assessment to assess the client for which alteration in health that may the cause of the confusion? Correct Answer Dehydration While assessing an older adult who has developed muscle cramps, the nurse observes the client has chapped lips, a dry tongue, and a rapid, steady pulse. Which action should the nurse take next? Correct Answer Obtain orthostatic vital signs The nurse is assessing Jill, a 6-month-old infant is seen in the emergency department with vomiting and diarrhea. Which documented data indicates that the infant is experiencing altered fluid balance? Select all assessment data that applies. Correct Answer 3 day history of vomiting loose watery stools dry mucous membranes poor skin turgor sunken fontanel 100.2 temp After completing the initial assessment, what additional information should the nurse obtain to determine the severity of the infant's condition? Select all that apply. Correct Answer Weight at last check-up Number of diapers used in last 24-hours Current weight Color of urine Time of last diaper change Has time spent sleeping increased The nurse selected three nursing diagnoses to address Jill's current needs. How should the nurse prioritize them? Move items to order from highest to lowest priority. Correct Answer Fluid volume deficit related to frequent loose diarrhea stools and vomiting. Altered nutriti