A nurse is providing care for a hospitalized client admitted with dehydration. Which assessment finding indicates interventions have been effective?

Dry oral mucus membranes

Weight loss

Jugular vein distention

Daily urine output of 960 mL

Answer and Explanation

The Correct Answer is D

A. Dry oral mucus membranes: This finding indicates dehydration rather than improvement. Effective treatment would result in the rehydration of mucous membranes.
B. Weight loss: Weight loss can be a sign of ongoing dehydration or fluid loss. Effective treatment would be indicated by weight stabilization or gain, not loss.
C. Jugular vein distention: Jugular vein distention typically indicates fluid overload or poor cardiac function, not improvement in dehydration. Effective rehydration would be associated with a return to normal vein appearance.
D. Daily urine output of 960 mL: This is the correct choice as it reflects adequate fluid intake and kidney function. For an average adult, a daily urine output of around 960 mL suggests proper hydration, indicating that interventions have been effective.

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Correct Answer is D

Explanation

A. Calcium Chloride: This is used to treat hypocalcemia, not hypercalcemia.
B. Spironolactone (Aldactone): This is a potassium-sparing diuretic, which does not affect calcium levels.
C. Kayexalate: This is used to treat hyperkalemia, not hypercalcemia.
D. Calcitonin: This is used to lower high serum calcium levels by inhibiting bone resorption and increasing calcium excretion.

A. 0.45% Sodium Chloride B. 10% dextrose in water C. 5% dextrose in water D. 0.9% Sodium Chloride

Correct Answer is D

Explanation

A. 0.45% Sodium Chloride: This is a hypotonic solution, which is not appropriate for a client with normal serum osmolality (290 mOsm/kg). It may cause fluid shifts that are not desirable in this context.
B. 10% dextrose in water: This hypertonic solution is generally used for providing calories rather than correcting fluid imbalance and is not suitable for initial rehydration in this scenario.
C. 5% dextrose in water: This solution is isotonic in the bag but becomes hypotonic in the body. It is not the best choice for rehydrating a client with normal serum osmolality and significant fluid loss.
D. 0.9% Sodium Chloride: This isotonic solution is appropriate for rehydration in a client with normal serum osmolality. It helps restore extracellular fluid volume without causing fluid shifts, making it ideal for this situation.

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A nurse is providing care for a hospitalized client admitted with dehydration. Which assessment finding indicates interventions have been effective?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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