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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Limiting protein intake is an important dietary modification for clients with chronic kidney disease. High protein intake can increase the workload on the kidneys and lead to further decline in kidney function. Restricting protein intake helps reduce the accumulation of waste products in the blood, such as urea and creatinine, which are normally eliminated by the kidneys. The specific amount of protein restriction will depend on the stage of CKD and the client's individual needs. It is important for the client to work with a registered dietitian who specializes in kidney disease to determine the appropriate protein intake.
Limit calcium intake: Calcium intake does not need to be limited unless there are specific complications related to calcium metabolism, such as hypercalcemia or certain types of kidney stones. Calcium is important for bone health, and adequate intake should be maintained unless otherwise directed by the healthcare provider.
Increase potassium intake: In most cases of chronic kidney disease, potassium intake needs to be limited. Damaged kidneys may have difficulty regulating potassium levels, and high levels of potassium in the blood can be dangerous. The client should be instructed to limit potassium intake and avoid high-potassium foods, such as bananas, oranges, tomatoes, and potatoes, unless specifically advised otherwise by their healthcare provider.
Increase phosphorus intake: Phosphorus intake needs to be restricted in chronic kidney disease, especially in later stages. Elevated levels of phosphorus in the blood can lead to bone and cardiovascular complications. The client should be educated on foods that are high in phosphorus, such as dairy products, nuts, and cola drinks, and instructed to limit their intake
Correct Answer is ["A","C","D"]
Explanation
In a nutrition plan for a client at risk for malnutrition, the nurse should include the following actions:
Assess for pain prior to mealtime: Pain can significantly impact a person's appetite and ability to eat. Assessing for pain before mealtime can help identify any discomfort that may hinder the client's ability to eat.
Provide mouth care before feeding: Proper oral hygiene is essential for maintaining a healthy appetite and preventing oral health issues that can affect eating. Providing mouth care before feeding helps ensure a clean and comfortable oral environment.
Remove the bedpan from the client's sight: Sight and smell can have a significant impact on a person's appetite. Removing the bedpan from the client's sight can help create a more pleasant dining environment and promote a better appetite.
However, the following actions should not be included in the plan:
Discourage snacks between meals: For clients at risk for malnutrition, it may be necessary to encourage nutrient-dense snacks between meals to increase caloric intake. Discouraging snacks may further contribute to malnutrition.
Administer antiemetics following the meal: Administering antiemetics following a meal is not a routine action in a nutrition plan. Antiemetics are typically used to treat nausea and vomiting, which may interfere with a person's ability to eat, but their administration should be based on specific symptoms and prescribed by a healthcare provider.
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