A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
Urine output 20 mL/hr
Bradycardia
Sodium 142 mEq/L
Cool skin
The Correct Answer is A
A. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.
Correct Answer is B
Explanation
A. Hyperactive reflexes: Hypokalemia typically causes hyporeflexia (reduced reflexes), not hyperactive reflexes.
B. Weak, irregular pulse: Hypokalemia can cause cardiac arrhythmias, leading to a weak and irregular pulse.
C. Extreme thirst: Extreme thirst is more associated with hypernatremia, not hypokalemia.
D. Hyperactive bowel sounds: Hypokalemia generally causes decreased bowel motility, leading to hypoactive bowel sounds.
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