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. Decreased calcium level: NG tube drainage primarily affects sodium, potassium, and chloride levels rather than calcium.
B. Decreased potassium level: Large volumes of gastric drainage can result in significant potassium loss, leading to hypokalemia.
C. Elevated magnesium level: NG tube drainage does not typically cause elevated magnesium levels.
D. Elevated sodium level: NG tube drainage is more likely to cause decreased sodium levels due to fluid loss and electrolyte imbalance.

A. Massage the injection site after administration of the medication. B. inject the medication into the abdomen above the level of the iliac crest C. Use a 1-inch needle to inject the medication. D. Use a 22-gauge needle to inject the medication.

Correct Answer is B

Explanation

A. Massage the injection site after administration of the medication. Massaging the site after heparin injection can cause bruising and should be avoided.
B. Inject the medication into the abdomen above the level of the iliac crest: This is the recommended site for subcutaneous heparin injections.
C. Use a 1-inch needle to inject the medication. A shorter needle (5/8 inch) is typically used for subcutaneous injections, not a 1-inch needle.
D. Use a 22-gauge needle to inject the medication: A smaller gauge needle (25 to 27 gauge) is typically used for subcutaneous injections, not 22-gauge.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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