vSim Health Assessment | Rashid Ahmed (Head-to-Toe Assessment) with correct answers

A patient being admitted to a medical unit is receiving a general assessment by the nurse. What is the priority action for the nurse to take when the patient says, "I've been so nauseous"? Conduct a focused assessment of the patient's abdomen. An older patient is being treated for an infection that has resulted in a diagnosis of gastroenteritis. Which statement made by the nurse indicates an understanding of how the signs of this condition may appear in an older patient? The normal temperature range in an older adult is lower than that of a younger adult. 00:12 01:27 Hydration status is being monitored for a patient being treated for dehydration. Which statements made by the nurse to the patient accurately reflect the assessment of fluid intake and output? (Select all that apply.) a. Do you remember how to use the urine hat to save your urine? b. Liquid stool and vomitus will be assessed as well as urine. c. When may I talk with your family about helping keep track of your fluids? e. The amount of IV fluids you receive will also be recorded as part of your fluid intake. An older patient is admitted with a diagnosis of gastroenteritis and dehydration. What assessment data documented by the nurse support this diagnosis? (Select all that apply.) a. Reports feeling dizzy when standing up b. Reports vomiting after taking "even a little drink of water" c. Produces dark yellow urine e. Reports experiencing diarrhea for last 48 hours A patient is admitted reporting diarrhea, nausea, vomiting, dizziness, and abdominal pain. Diagnoses of hypokalemia, dehydration, and gastroenteritis are pending. IV access has been established for this patient. Which nursing intervention has priority considering the patient's symptoms and expected diagnoses? Administering potassium chloride in a timely, effective manner Rationale: Hypokalemia, a condition characterized by insufficient potassium levels, places the patient at risk for a variety of health concerns, including cardiac arrhythmia and arrest. Managing this condition is a priority. An older adult diagnosed with gastroenteritis has an admission potassium level of 2.9 mEq/L. Of the following admission orders, which has initial priority for the nurse caring for this patient? Insert saline lock