A nurse is reviewing the medical record of a client who has a fluid volume deficit.
The nurse should expect which of the following findings?
Urine specific gravity 1.020.
Urine output 15 mL/hr.
Hct 43%.
BUN 12 mg/dL.
The Correct Answer is B
Choice A rationale:
Urine specific gravity 1.020 is within the normal range (1.005-1.030), so it does not indicate fluid volume deficit.
Choice B rationale:
Urine output 15 mL/hr is less than the normal minimum of 30 mL/hr, indicating fluid volume deficit.
Choice C rationale:
Hct 43% is within the normal range (38.8-50.0 for men, 34.9-44.5 for women), so it does not indicate fluid volume deficit.
Choice D rationale:
BUN 12 mg/dL is within the normal range (7-20 mg/dL), so it does not indicate fluid volume deficit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.
Choice B rationale:
Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.
Choice C rationale:
Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.
Choice D rationale:
Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.
Correct Answer is B
Explanation
Choice A rationale:
Changing soiled linens daily is important, but it is not the most effective way to prevent the spread of pathogens.
Choice B rationale:
Hand hygiene is the single most effective way to prevent the spread of pathogens. It should be performed before and after every client interaction, before and after any procedure, and after any contact with potentially infectious material.
Choice C rationale:
Discarding used syringes in appropriate containers is important for safety, but it does not directly prevent the spread of pathogens.
Choice D rationale:
Properly disposing of contaminated equipment is important, but hand hygiene is more effective at preventing the spread of pathogens.
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