An older adult is brought to an emergency department by a family member.

Which of the following assessment findings should cause the nurse to suspect

that the client has hypertonic dehydration? - >>>ANSWER Urine Specific gravity

1.045

A urine specific gravity greater than 1.030 indicates a decrease in urine volume

and an increase in osmolarity, which is a manifestation of hypertonic dehydration.

A nurse in a community clinic is caring for a client who reports an increase in the

frequency of migraine headaches. To help reduce the risk for migraine headaches,

which of the following foods should the nurse recommend the client avoid? -

>>>ANSWER Aged cheese

Foods that contain tyramine, such as aged cheese and sausage, can trigger

migraine headaches.

A nurse is planning teaching for a client who has bladder cancer and is to undergo

a cutaneous diversion procedure to establish a ureterostomy. Which of the

following statements should the nurse include in the teaching? - >>>ANSWER

"You should cut the opening of the skin barrier one-eight inch wider than the

stoma."