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 B

Explanation

A. Use sterile water to inflate the balloon: There is no balloon in a straight catheterization; this applies to indwelling catheters.
B. Use a sterile specimen container: A sterile specimen container ensures that the sample is not contaminated.
C. Instruct the client to clean from front to back with an antiseptic solution: This is relevant to midstream urine collection but not for straight catheterization.
D. Collect urine from the catheter's port. In straight catheterization, urine is collected directly as it exits the catheter, not from a port.

A. Explain the procedure to the client. B. Obtain assistance so the client does not become resistant to the procedure. C. Gather the equipment necessary before starting the procedure. D. Close the door and cover the client during the procedure.

Correct Answer is D

Explanation

A. Explain the procedure to the client: While explaining the procedure is important, it does not directly address the client's privacy concerns.
B. Obtain assistance so the client does not become resistant to the procedure: Obtaining assistance may help with the procedure but does not address the client's privacy concerns and might increase their anxiety.
C. Gather the equipment necessary before starting the procedure: Gathering equipment is important for preparedness but does not directly address privacy concerns.
D. Close the door and cover the client during the procedure: Closing the door and covering the client directly addresses privacy concerns and helps the client feel more comfortable and secure.

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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

A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the client's concern?

Correct Answer is D

Explanation

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