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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Hyperreflexia: Hypokalemia typically causes hyporeflexia, not hyperreflexia.
B. Increased appetite: Hypokalemia does not affect appetite; it can cause gastrointestinal symptoms like constipation.
C. Cardiac dysrhythmias: Low potassium levels can lead to dangerous cardiac dysrhythmias, making this the correct physiological response.
D. Hypoglycemia: Hypokalemia does not directly cause hypoglycemia.

A. Wear sterile gloves when withdrawing the medication from the ampule. B. Shake the ampule to move the solution below the neck. C. Snap the top of the ampule towards hands. D. Use a filter needle to draw up the medication.

Correct Answer is D

Explanation

A. Wear sterile gloves when withdrawing the medication from the ampule: Sterile gloves are not necessary; clean gloves are sufficient.
B. Shake the ampule to move the solution below the neck: Shaking the ampule can cause the solution to spill. Tapping the ampule gently is recommended.
C. Snap the top of the ampule towards hands: Snapping the top towards hands can result in injury. The ampule should be snapped away from the hands.
D. Use a filter needle to draw up the medication: A filter needle prevents glass particles from being drawn up into the syringe.

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A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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