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."

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.

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?

{{Answer:- Calcium

Calcium limits the development of osteoporosis in clients who are postmenopausal

and works as an antacid. Calcium supplements can interfere with the metabolism of