A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?

Weak pulse

Distended neck veins

Bradycardia

Pitting Edema

Answer and Explanation

The Correct Answer is A

A. Weak pulse: Isotonic fluid-volume deficit results in decreased blood volume, leading to reduced cardiac output and a weak, thready pulse.

B. Distended neck veins: This is associated with fluid volume excess, not deficit.

C. Bradycardia: Fluid deficit typically leads to tachycardia as the body compensates for decreased circulating volume.

D. Pitting edema: This is a sign of fluid overload rather than deficit.

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Correct Answer is C

Explanation

A. BP 178/90 mm Hg: High blood pressure can be seen in various conditions, including stress or pain. Dehydration typically leads to low blood pressure, not high, making this less likely to be an indicator of dehydration.

B. Red mucous membranes: Red mucous membranes can indicate a variety of conditions, including infection or inflammation, but it is not a classic sign of dehydration.

C. Skin tenting: Skin tenting, or the inability of the skin to return to normal after being pinched, is a classic sign of dehydration, particularly in moderate to severe cases. This indicates reduced skin turgor and is directly related to fluid volume depletion.

D. Jugular vein distention: Jugular vein distention is more indicative of fluid overload or increased central venous pressure, not dehydration.

A. Hematocrit 45% (37% to 52%) B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL) C. BUN 25 mg/dL (10-20 mg/dL) D. Urine specific gravity 1.028 (1.005 to 1.030)

Correct Answer is C

Explanation

A. Hematocrit 45% (37% to 52%): This value is within the normal range for hematocrit. Dehydration may increase the hematocrit due to a relative increase in red blood cell concentration, but 45% is still within normal limits.

B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL): This value is within the normal range for creatinine, indicating normal kidney function.

C. BUN 25 mg/dL (10-20 mg/dL): An elevated BUN level is a sign of dehydration as it reflects increased protein breakdown and decreased renal perfusion. This value is above the normal range and should be reported to the provider.

D. Urine specific gravity 1.028 (1.005 to 1.030): This value is within the normal range and indicates that the kidneys are concentrating urine, which is typical in dehydration as the body tries to conserve water.

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A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?

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