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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

Wheat bread contains some potassium, but not as much as fruits and vegetables.

Choice B rationale:

Cheddar cheese is not a good source of potassium.

Choice C rationale:

Bananas are known to be a great source of potassium.

Choice D rationale:

Cantaloupes contain potassium, but not as much as bananas.

A. Discard any partial doses she finds in the cabinet in the sharps container. B. Verify that the amounts of each medication she counts match the amounts on the inventory record. C. Set aside any controlled substances the nurse plans to give during her shift. D. Co-sign any notations of wasting controlled substances on the previous shift.

Correct Answer is B

Explanation

Choice A rationale:

Discarding any partial doses found in the cabinet in the sharps container is not the correct procedure. Partial doses should be wasted in the presence of another nurse.

Choice B rationale:

Verifying that the amounts of each medication counted match the amounts on the inventory record is the correct procedure. This ensures accurate accounting of controlled substances.

Choice C rationale:

Setting aside any controlled substances the nurse plans to give during her shift is not the correct procedure. Medications should be removed from the secure cabinet as needed.

Choice D rationale:

Co-signing any notations of wasting controlled substances on the previous shift is not the correct procedure. Wasting should be witnessed and co-signed at the time it occurs.

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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?

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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?