Try Naxlex NCLEX-RN (Free-Trial)


A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

 

A.

Urine specific gravity 1.005 to 1.030

B.

Decreased pulse pressure

C.

Lightheadedness

D.

Urine output 75 mL in 1 hr

Answer and Explanation

The Correct Answer is D

The correct answer is D. Urine output 75 mL in 1 hr.

Adequate urine output (at least 30 mL/hr) indicates effective hydration, showing that the kidneys are functioning properly and fluid balance is improving. A urine output of 75 mL in 1 hour suggests sufficient fluid replacement.

Here’s why the other options are incorrect:

  • A. Urine specific gravity 1.005 to 1.030 – This range covers both normal and abnormal values. In dehydration, urine specific gravity is usually high (>1.030) due to concentrated urine. Effective treatment should lead to lower urine specific gravity, but the full range does not confirm improvement.

  • B. Decreased pulse pressure – Pulse pressure is the difference between systolic and diastolic blood pressure. Dehydration typically causes a narrowed pulse pressure, so improvement should lead to a normal or increased pulse pressure rather than a decrease.

  • C. Lightheadedness – Dizziness and lightheadedness are signs of dehydration-related hypotension. Effective hydration should resolve these symptoms, not maintain them.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

Choice A reason: Furosemide does not require a diet low in potassium; in fact, patients may need to increase their potassium intake due to its diuretic effect.

Choice B reason: Patients on furosemide should not limit fluid intake unless specifically instructed by their healthcare provider, as the medication is a diuretic.

Choice C reason: Furosemide is used to treat high blood pressure, so it would not cause an increase in blood pressure.

Choice D reason: Limiting sun exposure and wearing sunscreen is important as furosemide can make the skin more sensitive to sunlight.

Correct Answer is A

Explanation

Choice A reason: Ice cream is considered a fluid in dietary terms, so not counting it as part of fluid intake shows a misunderstanding.

Choice B reason: Making a list of favorite beverages does not demonstrate understanding of fluid restrictions.

Choice C reason: Putting beverages in large containers does not reffect an understanding of fluid restrictions and could lead to overconsumption.

Choice D reason: Consuming most fluid during the evening could lead to fluid overload overnight, which is not advisable.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register