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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 D

Explanation

Choice A rationale:

Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm is the correct procedure for a Mantoux tuberculin skin test.

Choice B rationale:

Visualizing the tip of the needle under the skin is the correct procedure for a Mantoux tuberculin skin test.

Choice C rationale:

Stretching the skin tightly before injection is the correct procedure for a Mantoux tuberculin skin test.

Choice D rationale:

Withdrawing the needle and massaging the site gently is incorrect. Massaging the site can cause the test solution to disperse, which can affect the test results.

A. Tachycardia. B. Diminished urine output. C. Cold clammy skin. D. Unconsciousness.

Correct Answer is A

Explanation

Choice A rationale:

Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.

Choice B rationale:

Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.

Choice C rationale:

Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.

Choice D rationale:

Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.

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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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Naxlex Comprehensive Predictor Exams

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.Which of the following actions should prompt the charge nurse to intervene?

Correct Answer is D

Explanation

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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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?