A nurse is assessing a client who is postoperative and has an indwelling urinary catheter. Which of the following findings indicates that the client is experiencing dehydration?
BUN 15 mg/dL
Blood pressure 150/82 mm Hg
Urine specific gravity 1.010
Urine output of 20 mL/hr
The Correct Answer is D
A urine output of 20 mL/hr is considered to be low and suggests decreased fluid intake or fluid loss. In a postoperative client with an indwelling urinary catheter, a low urine output may indicate dehydration, especially if the client is not receiving adequate fluids or experiencing excessive fluid loss.
BUN 15 mg/dL: Blood urea nitrogen (BUN) is a laboratory value that reflects the amount of urea nitrogen in the blood and can be used to assess kidney function and hydration status. A BUN level of 15 mg/dL falls within the normal range, indicating that the client's kidneys are adequately removing urea from the blood. However, it does not provide definitive information about hydration status on its own.
Blood pressure 150/82 mm Hg: The blood pressure reading of 150/82 mm Hg does not provide specific information about hydration status. It is important to consider the client's baseline blood pressure, medical history, and other factors when interpreting blood pressure readings.
Urine specific gravity 1.010: A urine specific gravity of 1.010 falls within the normal range and does not indicate dehydration. It suggests that the concentration of solutes in the urine is within the expected range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
An appropriate intervention for a nurse caring for a client with stomatitis following radiation therapy would be to serve foods without sauces or gravies. Stomatitis is the inflammation of the mucous membranes in the mouth, which can cause pain and discomfort. Foods with sauces or gravies can irritate the affected areas and exacerbate the symptoms. Serving plain or bland foods can help alleviate discomfort and promote healing.
Instructing the client to drink liquids without a straw is not specifically related to stomatitis. The use of a straw may not have a direct impact on the condition. However, it is generally recommended to avoid using a straw when there are mouth sores or ulcers to prevent further irritation.
Serving foods while still at a hot temperature is not appropriate for a client with stomatitis. Hot foods can cause additional discomfort and may further irritate the inflamed tissues. It is advisable to serve foods at a cooler or lukewarm temperature to provide relief.
Offering mouth rinses with normal saline and water is not specifically related to stomatitis following radiation therapy. While mouth rinses can be helpful in maintaining oral hygiene and soothing oral tissues, the choice of rinse solution may vary depending on the client's condition and healthcare provider's recommendations. In some cases, a healthcare provider may prescribe a specific mouth rinse or provide instructions on the appropriate solution to use.
Correct Answer is A
Explanation
A. Pulse rate of 118/min: In a client with fluid volume deficit, the pulse rate often increases as the body compensates for reduced blood volume.
B. Blood pressure of 152/90 mm Hg: This blood pressure reading does not specifically indicate fluid volume deficit as it can be influenced by various factors, including vascular tone and cardiac function.
C. Temperature of 37.2° C (99° F): This temperature reading is within the normal range and does not directly reflect fluid volume status.
D.Central venous pressure 25 mm Hg: This is elevated and typically suggests fluid volume excess rather than deficit.
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