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. Lemon sherbet: Lemon sherbet is not considered a clear liquid; it is more of a semi-solid. This contains dairy (milk or milk derivatives) and might have pulp, disqualifying it from a clear liquid diet.
B. Carrot juice: Carrot juice is not a clear liquid; it contains pulp and is opaque.
C. Grape juice: Grape juice is a clear liquid and is appropriate for a clear liquid diet.
D. Skim milk: While skim milk is a good source of protein and calcium, it's a dairy product and not considered a clear liquid.

A. Parasites B. Blood C. Bacteria D. Fat

Correct Answer is B

Explanation

A. Parasites: The stool guaiac test does not detect parasites; it is used to detect blood.
B. Blood: The stool guaiac test (or fecal occult blood test) detects hidden (occult) blood in the stool.
C. Bacteria: The stool guaiac test does not identify bacteria; stool cultures are used for that purpose.
D. Fat: The stool guaiac test does not measure fat content; a fecal fat test is used for detecting fat.

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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 caring for a client who requires a clear liquid diet. Which of the following foods should the nurse allow the client to have?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?

Correct Answer is B

Explanation

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