A nurse assesses a client who is prescribed a medication that inhibits angiotensin I from converting into angiotensin II (angiotensin-converting enzyme ACE inhibitor). For which expected therapeutic effect should the nurse assess?
a. Blood pressure decrease from 180/72 mm Hg to 144/50 mm Hg
b. Daily weight increase from 55 kg to 57 kg
c. Heart rate decrease from 100 beats/min to 82 beats/min
d. Respiratory rate increase from 12 breaths/min to 15 breaths/min
Question 2After teaching a client who is being treated for dehydration, a nurse assesses the client's understanding. Which statement indicates the client correctly understood the teaching?
a. I must drink a quart of water or other liquid each day.
b. I will weigh myself each morning before I eat or drink.
c. I will use a salt substitute when making and eating my meals.
d. I will not drink liquids after 6 PM so I won't have to get up at night.
Question 3A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement first?
a. Measure intake and output every 4 hours.
b. Apply oxygen by mask or nasal cannula. c.
Increase the IV flow rate to 250 mL/hr.
d. Place the client in a high-Fowler's position.
Question 4A nurse teaches clients at a community center about risks for dehydration. Which client is at greatest risk for dehydration?
a. A 36-year-old who is prescribed long-term steroid therapy
b. A 55-year-old receiving hypertonic intravenous fluids
c. A 76-year-old who is cognitively impaired
d. An 83-year-old with congestive heart failure
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