1. 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?

- 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.

2. 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?

- Aged cheese

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

headaches.

3. 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?

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

The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma

to minimize irritation of the skin from exposure to urine.

4. A nurse is providing teaching to a client who has hypothyroidism and is receiving

levothyroxine. The nurse should instruct the client that which of the following

supplements can interfere with the effectiveness of the medication?

- Calcium