Nursing Fund Week 10

The nurse is reviewing the intake and output​ (I&O) records of a client. Which entry in the intake record would cause the nurse​ concern? (Select all that​ apply.)

*Tube drainage ***Vomitus

The student nurse is assisting the nurse in administering intravenous normal saline to a dehydrated client. The nurse explains to the student that active transport is essential in maintaining sodium and potassium ion concentrations in the​ body's fluid compartments. The student asks how active transport differs from other transport processes. What is the best response by the​nurse?

-"Unlike diffusion, active transport moves solutes from a solution with a lower concentration of solutes to a more concentrated​ solution." Unlike​ diffusion, active transport moves solutes against their concentration gradients from a solution with a lower concentration to a more concentrated solution. Active transport does not move​ water, only solutes. Osmosis is the movement of water from a solution with a lower concentration of solutes to a more concentrated solution.

The nurse is monitoring a client who has undergone a thyroidectomy. The nurse suspects the parathyroid glands may have been inadvertently removed if imbalances are seen in which serum electrolyte​ level? (Select all that​ apply.)

***Magnesium ***Calcium

The nurse is providing education to a group of volunteers who are planting trees in a city park on a​ hot, sunny day. What teaching should the nurse provide about avoiding​ heat-related illness?​(Select all that​ apply.)

***Take frequent rest breaks ***Avoid participating in the tree planting if ill ***Wear lightweight clothes

The nurse is performing an assessment on a client who has had nothing by mouth since the previous evening. Which manifestation related to the​ client's fluid restriction would be of concern to the​ nurse? (Select all that​ apply.)

-Dry mucous membranes -Tenting skin -Increased hematocrit Rationale: Oral fluid restriction can cause dehydration. The nurse should monitor for manifestations of dehydration such as dry mucous​ membranes, increased​ hematocrit, and tenting skin. Edema and increased blood pressure are manifestations of fluid volume​ excess, not deficit.

The nurse is administering a blood transfusion to a client who is hemorrhaging. The nurse identifies that the client is experiencing a deficit in which body fluid​ compartment?

-Intravascular Rationale: Blood loss causes a deficit in the intravascular fluid​ compartment, which is a subcompartment of extracellular fluid​ (ECF). Transcellular and interstitial​ fluids, along with​ lymph, make up the other compartments of ECF. Intracellular fluid is the other major fluid compartment in the body.

An emergency room nurse is assessing a client who overhydrated during a marathon. Which assessment is essential for the nurse to perform during the physical​ examination? (Select all that​apply.)

-LOC -BP -Lung sounds

The nurse is caring for a client with hyponatremia. What are independent interventions that the nurse can perform to help manage the​ client's electrolyte​ imbalance? (Select all that​ apply.)

-Monitor intake and output -Weigh client daily -Involve client in meal planning Rationale Monitoring intake and​ output, weighing the client​ daily, and involving the client in meal planning are all independent interventions that the nurse can perform to help manage the​ client's hyponatremia. Administering oral and intravenous sodium supplements are collaborative interventions that can only be carried out with a healthcare​ provider's orders.

Which electrolyte is regulated by​ aldosterone? (Select all that​ apply.)

-Sodium -Potassium -Chloride

Fluid volume deficit can result from which​ conditions? (Select all that​ apply.)

-vomiting -fever -diarrhea

Based on Mrs.​ Toppum's lab values and clinical​ manifestations, the health care provider orders furosemide​ (Lasix) 80 mg intravenous​ (IV) push every 12 hours times two doses and digoxin 0.25 mg PO daily. The nurse is preparing to administer the furosemide to Mrs. Toppum via her INT. The order is to administer 80 mg IV push. Furosemide 10​ mg/mL is available for administration. How many milliliters of furosemide will the nurse administer to Mrs.​ Toppum? Please limit your answer to a numeral. Record your answer rounding to the nearest whole number.

8.0 (with margin: 0.0) The answer may be calculated using the following​ formula: Desired Dose x Quantity on Hand​ = Dose Dose on Hand 80 mg x 1 mL​ = 8 mL 10 mg

The nurse is reviewing client data to begin planning care. Which client is at greatest risk for developing fluid volume​ excess?

A client admitted for cirrhosis A client admitted for liver cirrhosis is at greatest risk for developing fluid volume excess. Clients admitted for nausea and​ vomiting, overuse of​ laxatives, or oral surgery are not at risk for developing fluid volume excess.

You are preparing to administer digoxin​ (Lanoxin) to Mrs. Toppum as ordered. You know you need to complete which assessment prior to administering​ digoxin?

Assess apical pulse You should assess Mrs.​ Toppum's apical pulse prior to administration of digoxin. If her pulse rate is greater than 60​ beats/min, you can administer the medication as prescribed. Digoxin is a cardiac glycoside and slows the conduction from the SA to the AV​ node, thereby slowing the heart rate. Administering digoxin to a client with a heart rate below 60​ beats/min can result in a dysrhythmia and SA or AV heart block. Apical pulse should be used instead of radial pulse because it assures an accurate reading. You would also want to assess her potassium​ level, because a potassium level of 6​ mEq/L or greater and digoxin level of 3​ mg/mL or greater indicate digoxin​ toxicity, which would require you to hold the dose and notify the health care provider. Hematocrit measures the number of RBC in volume of whole blood and will not inform your assessment related to digoxin level. Respiratory rate does not affect the administration or dosage of digoxin.

The nurse is caring for a client with a fluid volume deficit. Which nursing intervention addresses the​ client's potential for poor​ perfusion?

Assessing client's nail beds Rationale Fluid and electrolyte balance is related to several nursing​ concepts, including​ perfusion, cellular​ regulation, and cognition. Fluid volume loss can lead to decreased​ perfusion, so the nurse should assess​ pulses, nail​ beds, and color to assure that perfusion is adequate. Monitoring for signs of blood loss and administering whole blood are interventions targeted toward hemorrhage​ (cellular regulation) rather than poor perfusion. Checking the client​'s temperature helps to determine the client​'s thermoregulation​ status, not perfusion

Mrs. Toppum has an uneventful night. In the​ morning, her lab results come​ back, and her lab values​ are: sodium 140​ mEq/L, potassium 2.5​ mEq/L, hemoglobin 17​ g/dL, hematocrit​ 27%, serum creatinine 0.2​ mg/dL, and BUN 4​ mg/dL. EKG revealed sinus tachycardia. Ongoing​ assessment: T 99.3​°​F, P 99​ beats/min, R 28​ breaths/min, and BP​ 147/90 mmHg. Bowel sound present all four​ quadrants, intake 800 mL and output​ 1,000 mL over 24 hours. While reviewing Mrs.​ Toppum's lab​ values, which results would support a diagnosis of fluid​ retention? Select all that apply.

BUN 4​ mg/dL Hematocrit​ 27% Potassium 2.5​ mEq/L ​Hematocrit, potassium,​ BUN, and hemoglobin values will be lower in the client with fluid retention due to hemodilution. A sodium level of 140​ mEq/L is normal. Clients with fluid retention will retain water and​ sodium, so a change in sodium level is not anticipated. A hemoglobin level of 17​ g/dL is elevated and may indicate​ dehydration, because the number of red blood cells may be the same but the blood volume may be decreased.​ Normal hemoglobin level for females is 11.7-16.1 ​g/dL.

In preparation for Mrs.​ Toppum's discharge, the dietitian receives an order to discuss food choices with her. Mrs. Toppum is reluctant to discuss her eating​ habits, because she has never had this problem before. A review of recent food choices while dining out places Mrs. Toppum at risk for possible reoccurrence of fluid retention. The dietitian shows Mrs. Toppum a sample menu from a local restaurant to help her begin planning her meals more conscientiously. Which meal selection would be appropriate for Mrs.​ Toppum?

Beef, brown​ rice, spinach ​Beef, brown​ rice, and spinach are low sodium foods that will not cause client to retain fluid. Fettucine alfredo can be high in sodium content because of the sauce. Tossed salad can consist of watery vegetables that may facilitate fluid retention.​ Ham, mayonnaise used in potato​ salad, and​ V-8 juice all contain sodium and may place client at risk for fluid retention. Canned tuna that is mixed in water and broccoli possess a high water​ content, and those food options may increase Mrs.​ Toppum's risk for fluid retention. Processed cheddar cheese has a high sodium content and may increase Mrs.​ Toppum's risk for fluid retention. Mrs. Toppum should read nutrition labels for sodium content and meet with the dietitian when warranted. The health care provider may place client on fluid restriction to decrease the amount of free water.

The nurse is reviewing the medication record of a client admitted with dehydration. Which medication would cause the nurse​ concern?

Benzodiazepine

A client is admitted with end stage renal disease and a potassium level of 7.1. The nurse anticipates which medication prescription from the healthcare​ provider?

Calcium gluconate

The community health nurse is performing health screenings at a homeless shelter. When assessing for fluid and electrolyte​ imbalances, which question is most important for the nurse to​ ask?

Describe what you eat and drink on a typical day?" Rationale It is important for the nurse to consider socioeconomic factors affecting food and fluid intake when assessing a​ client's risk for fluid and electrolyte​ imbalances, especially with a vulnerable population like the homeless. Asking a client to describe a typical​ day's food and fluid intake will help the nurse determine if a​ client's oral intake is adequate. Joint problems and minor respiratory infections are not primary risk factors for fluid and electrolyte imbalances. It would be more important for the nurse to ask about kidney or thyroid​ disease, diabetes, or hypertension and acute conditions that cause fluid loss such as gastroenteritis. Asking about anxiety is too general when assessing a​ client's fluid and electrolyte​ status, as some anxiety is to be expected in a homeless client.

The nurse is completing discharge teaching with a client diagnosed with congestive heart failure.​ Which symptoms will the nurse teach the client to immediately report to the healthcare​ provider? ​(Select all that​ apply.)

Cough with increased sputum production The client with congestive heart failure it at risk for developing fluid volume excess. Weight gain of more than 5 pounds in a week and a cough with increased sputum production are indications of excess fluid​ volume, and the healthcare provider must be notified of these findings. Dizziness when standing and a dry mouth are not signs of fluid volume excess and do not need to be reported to the healthcare provider. A urine output of 320 mL in 8 hours is not a finding that needs to be reported to the healthcare provider.

A client admitted for nausea and vomiting has a​ urine-specific gravity of 1.061. Upon assessment of the​ client, the nurse finds that the client is experiencing orthostatic hypotension and has dry skin and flat neck veins. What is the priority nursing diagnosis for this client when planning​ care?

Deficient fluid volume Fluid volume deficit can be caused by nausea and vomiting with assessment findings of orthostatic​ hypotension, dry​ skin, and flat neck​ veins, which will lead to the priority nursing diagnosis of deficient fluid volume. The client is demonstrating fluid volume deficit.​ Therefore, ineffective tissue​ perfusion, impaired gas​ exchange, and impaired skin integrity are not priority nursing diagnoses for this client.

What is the result of the fluid in third​ spacing?

Fluid from the vascular space becomes unavailable for physiological functioning. In third​ spacing, fluid moves from the vascular space into an area where it is not available to support normal physiological functioning. The fluid may locate into the peritoneal space or​ pleura, where it is trapped. The unavailable fluid in third spacing may be located in the bowel or peritoneal cavity. The fluid loss attributable to third spacing may be difficult to detect because the client​'s weight may remain stable and intake and output records may not indicate a fluid loss. Fluid does not leave the body or enter the intracellular space or subcutaneous tissue.

You are caring for​ 47-year-old Savita​ Patel, who is experiencing fluid retention due to acute renal failure. After several days of​ treatment, Ms. Patel shows no improvement in her fluid volume excess. You ask Ms. Patel if she is drinking fluids other than those permitted by her healthcare​ provider, and she​ replies, "No, but I do like to suck on ice chips during the​ day." You review Ms.​ Patel's medical record and see that the ice chips have not been documented. Which clinical measurement should you correct​ immediately?

Fluid intake

The nurse is monitoring the fluid and electrolyte status of a client receiving intravenous colloids. The nurse understands that it is priority to monitor the client for manifestations of which​imbalance?

Fluid overload

The nurse is reviewing laboratory values for a client with hyperthyroidism. Which component of the complete blood count will be most useful to the nurse in determining the​ client's fluid​ status?

Hematocrit

Mrs. Toppum is receiving furosemide​ (Lasix), a drug that will rapidly increase urinary output when injected directly into the bloodstream. Which assessment finding should you review to determine the effectiveness of furosemide 80 mg IV​ dose?

Hourly urine output Mrs. Toppum is receiving furosemide​ (Lasix), a drug that will rapidly increase urinary output when injected directly into the bloodstream. Which assessment finding should you review to determine the effectiveness of furosemide 80 mg IV​ dose?

Which electrolyte imbalance is treated with calcium​ gluconate?

Hyperkalemia Calcium gluconate is used to treat hyperkalemia. Hypernatremia is treated with fluid replacement. Hypochloremia is treated with increasing dietary salt and adding chloride to the IV fluid. Hyponatremia is treated by increasing dietary sodium and administering sodium containing IV fluids.

A nurse is unable to secure an intravenous access site due to severe dehydration. Which order does the nurse anticipate receiving from the healthcare​ provider?

Hypodermoclysis

What is the most common electrolyte disorder in the general​ population?

Hyponatremia

You are providing discharge instructions for Mr.​ Dickson, who has had frequent episodes of fluid volume excess requiring hospitalization. He will continue to take furosemide​ (Lasix) after discharge. Which statement by Mr. Dickson would indicate that there is a need for additional​ instruction?

I will weigh myself weekly and notify my healthcare provider if I gain more than 1​ pound." It is important for the client to weigh himself​ daily, not​ weekly, after discharge for fluid volume excess. Eating foods rich in​ potassium, wearing shoes that fit well and not walking​ barefoot, and changing positions frequently are all responses that indicate understanding of the discharge instructions provided by the nurse.

You are administering intravenous crystalloid solutions to​ 26-year-old Marco​ Ramirez, who suffered severe heat exhaustion at an outdoor concert. Mr. Ramirez​ asks, "What is this stuff​ you're giving​ me?" What is the best response for you to give to Mr.​ Ramirez?

I'm giving you a solution that is a lot like the fluid outside your cells. It will replace the fluid you​ lost."

The nurse is caring for a client who is experiencing diarrhea. Which data indicates that the client is experiencing fluid volume​ deficit? ​(Select all that​ apply.)

Increased heart rate Orthostatic hypotension Poor skin turgor

The nurse is caring for a hospitalized client who is experiencing​ anxiety-related hyperventilation. To account for the​ client's hyperventilation, when recording the​ client's fluid intake and​ output, the nurse should adjust the amount of fluid lost through which​ route?

Insensible loss

A client experiencing hyperkalemia is scheduled for dialysis. The nurse anticipates an order for what therapy to help drive potassium back into the cells prior to​ dialysis?

Insulin Rationale Glucose and insulin are administered to the client with hyperkalemia to help drive potassium back into the intracellular​ fluid, reducing the amount of potassium in the blood. Potassium supplements would only increase the​ client's potassium levels. Blood transfusions are only given for major blood​ loss, which is not indicated for the client. Antidiuretic hormone​ (ADH) is administered to clients with hypernatremia due to decreased ADH​ production, not hyperkalemia.

The healthcare provider ordered a diuretic that inhibits sodium and chloride reabsorption in the ascending loop of Henle. The nurse recognizes that this medication is part of what class of​ diuretics?

Loop Loop diuretics inhibit sodium and chloride reabsorption in the ascending loop of Henle. Thiazide diuretics promote the excretion of​ sodium, chloride,​ potassium, and water by decreasing absorption in the distal tubule.​ Potassium-sparing diuretics promote excretion of sodium and water by inhibiting sodiumdash-potassium exchange in the distal tubule. Osmotic diuretics do not inhibit sodium and chloride reabsorption in the ascending loop of Henle.

You are assessing​ 8-year-old Kristian Davidson at school after he complained of feeling dizzy during recess on a​ hot, sunny day. You note manifestations of mild heat​exhaustion, perform first​ aid, and notify​ Kristian's parents to follow up with their heathcare provider. What is the best recommendation for you to make to the principal of the school to help prevent future occurrences of​ heat-related illness?

Move afternoon recess to a cooler morning hour

In planning Mrs.​ Toppum's care, you consider reasons why Mrs. Toppum is retaining fluid. Which factors would increase a​ client's risk for retaining​ fluid? Select all that apply.

New onset congestive heart failure​ (CHF) Client receiving plasma protein Correct! Chronic liver disease Causes of fluid retention include​ over-infusion of intravenous​ fluid, chronic liver​ disease, heart​ failure, client receiving plasma​ protein, excess ingestion of solutes in​ foods, and medications. Asthma does not increase the​ client's risk for retaining fluid. Diabetes mellitus can result in fluid volume deficit due to body unable to utilize excess glucose which can result in osmotic diuresis​ (e.g., increased​ urination).

Mrs. Toppum reports that she is having trouble breathing. You know that a complication for fluid retention is pulmonary edema. In what order would you implement interventions for a client with pulmonary​ edema?

Place client in high Fowler position.- 1 Provide supplemental oxygen as ordered. 2 Check the client's blood pressure. 3 Continue nursing assessment. 4 Review the client's serum sodium, potassium, BUN, and creatinine levels. 5 Document findings. 6 Clients presenting with respiratory difficulty require immediate intervention. Placing Mrs. Toppum in a high Fowler position provides for improved lung​ expansion, which will allow the supplemental oxygen to be effective. After providing the oxygen per the health care​ provider's order, you would check Mrs.​ Toppum's blood pressure and then continue with the rest of your assessment. Once she is​ stable, you would check her lab values and document your findings. You would not leave Mrs.​ Toppum's bedside until she is stable.

You are providing care for James​ Dand, who has been determined to have fluid volume excess. Laboratory values indicate that Mr. Dand is experiencing hypokalemia. Which therapy do you anticipate will be prescribed for Mr. Hernandez based on this​ information?

Potassium-sparing diuretics A client experiencing fluid volume excess with hypokalemia would be prescribed​ potassium-sparing diuretics. Loop diuretics would be prescribed for a client with hyperkalemia. Oral fluid solutions and isotonic electrolyte solutions are appropriate therapies for a client with fluid volume​ deficit, not excess.

A client is admitted with a serum sodium level of 140​ mEq/L, hematocrit level of​ 31%, and generalized edema. Which priority intervention is indicated for this​ client?

Restrict fluid intake This client is experiencing fluid volume excess.​ Therefore, the priority nursing intervention is restricting fluid intake. Preparing to administer a blood​ transfusion, encouraging the client to drink ginger​ ale, and encouraging the client to increase sodium intake are not priority nursing interventions because this client is experiencing fluid volume excess.

Which diagnostic test assesses kidney​ function?

Serum creatinine A diagnostic test used to assess kidney function is serum creatinine levels. Hemoglobin and hematocrit are used to assess hemoconcentration in the blood. Serum osmolality helps to differentiate isotonic fluid loss from water loss.

When ADH and aldosterone are​ secreted, what change occurs in the​ body?

Sodium and water are retained by the kidneys. The release of ADH and aldosterone causes sodium and water to be retained by the kidneys. The secretion of ADH and aldosterone are part of the renindash-angiotensindash-aldosterone system.

Mrs. Rivera reports experiencing vomiting and diarrhea for the past 2​ days, resulting in a​ 5% weight loss. In addition to diminished skin​ turgor, which assessment would you expect to note with Mrs.​ Rivera?

Tachycardia When a client experiences a deficiency in fluid​ volume, the heart rate will increase​ (tachycardia) in an attempt to improve circulation.​ Warm, flushed skin is typically seen with a fever. Ascites and dyspnea are frequently noted with fluid volume excess.

Mrs. Madeline Toppum is a​ 57-year-old woman who is​ 5'6" and weighs 200 lbs. Over the past several​ days, she has had difficulty ambulating up stairs and performing activities of daily living. She has been unable to shower in the mornings without feeling weak and having to sit down before implementing another task. Her husband encouraged her to follow up with her health care​ provider, but she was too busy planning her​ daughter's wedding and did not make an appointment. Mrs. Toppum finally decided to call for an appointment when she started having trouble catching her​ breath, especially at night. The nurse at her health care​ provider's office instructed her to go to the emergency department. Upon​ arrival, she was​ diaphoretic, T 99.7​°​F, P 110​ beats/min, R​ 32/min, and BP​ 160/80 mmHg. In​ addition, she had ankle edema and reported that her weight was 180 pounds at her physical exam two months ago.​ Mrs. Toppum is admitted to the intensive care unit with a diagnosis of fluid overload. The health care provider orders the​ following: Basic metabolic​ panel, liver function​ test, complete metabolic​ panel, vital signs every 4​ hours, intake and​ output, insert indwelling Foley​ catheter, saline​ lock, chest​ x-ray, oxygen 2-4 liter per nasal cannula to maintain oxygen saturation above​ 96%, and a​ low-sodium diet.You are the nurse assigned to Mrs. Toppum today. You take Mrs.​ Toppum's health​ history, including her symptoms over the past few weeks. You continue your​ assessment, noting the​ following: a​ well-nourished woman,​ alert, and oriented times three. Upper extremities strong and lower extremities weak. Mrs. Toppum complains of difficulty ambulating and moving her legs freely. Lower extremities​ 2+ pitting edema. Lung sounds are positive for crackles on auscultation. Abdomen bowel sounds present in all four quadrants. Vital​ signs: T 99.3​°​F, P 104​ beats/min, R 32​ breaths/min, and BP​ 152/90 mmHg. Which clinical manifestations would indicate fluid​ retention?

Tachycardia Lung​ sounds: crackles 1+ pitting edema in both ankles Manifestations of fluid retention include crackles in the lungs heard on​ auscultation, 1+ or higher pitting​ edema, tachycardia, weight​ gain, dyspnea, full bounding​ pulse, and distended neck veins. Poor skin turgor and low concentrated urine will be present with fluid volume deficit. Manifestations of fluid retention include crackles in the lungs heard on​ auscultation, 1+ or higher pitting​ edema, tachycardia, weight​ gain, dyspnea, full bounding​ pulse, and distended neck veins. Poor skin turgor and low concentrated urine will be present with fluid volume deficit.

The nurse is planning care for a client who has congestive heart failure and is experiencing generalized edema. Which interventions will the nurse plan for the client who is at risk for altered skin integrity secondary to​ edema? ​(Select all that​ apply.)

Turning the client every 2 hours Monitoring for evidence of skin breakdown

Mrs. Toppum understands the importance of making wise food choices and indications for recent retention of fluid. Her family medical history includes​ hypertension, obesity, cardiac​ problems, and respiratory​ problems, so she is very focused on making better choices. Mrs. Toppum will start eating at home more and carrying lunch and a snack with her if she plans to run errands during the day. She also plans on implementing new dietary choices for the family. You are reviewing Mrs.​ Toppum's most recent laboratory results and assessment findings. Which finding would suggest that Mrs.​ Toppum's plan of care is​ effective?

Weight loss of 2 lbs in the last 24 hours One of the most effective measurements to assess fluid volume status is daily weight measurement. Intake and output require 2-3 days of data to get a full picture. Intake of 800 mL and output of 500 mL suggest client is retaining fluids because intake exceeds output. Hematocrit of​ 50% indicates client has a fluid volume deficit due to a higher concentration of RBCs in relation to circulating blood volume. A potassium level of 6​ mEq/L is too high and may indicate an imbalance in fluids and electrolytes.

The nurse is planning care for a client admitted for dehydration. Which assessment finding indicates that current interventions are not improving the​ client's hydration​ status?

hypotension

Which is a characteristic of the intracellular fluid compartment of the​ body?

is a medium for metabolic processes

The nurse is planning care for a client admitted for congestive heart failure who has a priority problem of fluid volume excess. What is occurring in the body that places the client at risk for retaining​ fluids?

retention of water and sodium Fluid volume excess results from conditions that cause retention of water and sodium. Impaired renal excretion of potassium is not related to fluid volume excess. There will be an increase in ADH and aldosterone when the stress response is activated with fluid volume excess. An increase in serum osmolality stimulates the thirst​ center, not a low serum​ osmolality, which could affect fluid volume.r

Before planning your discharge​ teaching, you need to assess Mrs. Toppum for behaviors and modifiable risk factors that would increase her risk for fluid retention. Which statement by Mrs. Toppum indicates a need for teaching about factors that increase her risk for fluid​ retention?

​"I use salt substitutes to season food" Salt substitutes increase​ clients' risk for potassium excess due to the potassium content. Drinking ten glasses of water daily will assist in maintaining fluid balance by hydrating the client. Drinking four glasses of apple juice is not a concern unless the client is experiencing diarrhea. Not adding seasoning to meals is not a concern with medication use.

Landon McCabe brings his​ 4-month-old daughter,​ June, to the urgent care clinic. June has been vomiting every few hours for the past 12 hours and feeding poorly. After noting​ June's dry mouth and lack of​ tears, the healthcare provider diagnoses June with mild dehydration. After you teach Mr. McCabe about rehydrating​ June, he​ asks, "How did June get dehydrated so​ quickly?" What is the best response for you to give Mr.​ McCabe?

​"Infants need to take in a lot of​ fluid, so if they lose a lot of fluid through​ vomiting, it is easy for them to get​ dehydrated."

Landon McCabe brings his​ 4-month-old daughter,​ June, to the urgent care clinic. June has been vomiting every few hours for the past 12 hours and feeding poorly. After noting​ June's dry mouth and lack of​tears, the healthcare provider diagnoses June with mild dehydration. After you teach Mr. McCabe about rehydrating​ June, he​ asks, "How did June get dehydrated so​ quickly?" What is the best response for you to give Mr.​ McCabe?

​"Infants need to take in a lot of​ fluid, so if they lose a lot of fluid through​ vomiting, it is easy for them to get​ dehydrated."

The nurse is caring for a client admitted for dehydration. What assessment finding indicates a loss of fluid over a period of​ time?

​Dry, sticky mucous membranes

A client is admitted for diarrhea. Which laboratory value indicates that the client is experiencing​ dehydration?

​Hematocrit, 57%