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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:

Frozen dinners are often high in sodium, which can increase blood pressure, so they are not a good choice for someone with hypertension.

Choice B rationale:

Processed cheese products are also high in sodium, so they should be avoided.

Choice C rationale:

Seasoning food with herbs and spices is a healthy way to add flavor without adding sodium.

Choice D rationale:

Soy sauce is very high in sodium, so it should not be used as a marinade for meats.

A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider.”. B. "A comprehensive list of medications is provided for the client at the time of discharge.”. C. "Complete the reconciliation process one time when the client is first admitted to the hospital.”. D. "A nurse should write a verbal order in the medical record for medications the client was taking at home.”.

Correct Answer is B

Explanation

Choice A rationale:

The list obtained from the client should include all medications the client is taking, regardless of who prescribed them. This includes over-the-counter medications and supplements.

Choice B rationale:

Providing a comprehensive list of medications for the client at the time of discharge is an important component of medication reconciliation. This helps to ensure the client understands what medications they should be taking, how to take them, and why they are taking them.

Choice C rationale:

The reconciliation process should be completed at each transition of care, not just when the client is first admitted to the hospital. This is to ensure that any changes in medication are accurately documented and communicated.

Choice D rationale:

A nurse should not write a verbal order in the medical record for medications the client was taking at home without confirmation from the provider. This could lead to errors in medication administration.

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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?