A nurse is teaching a class about administering IV fluids to treat dehydration. The nurse should include in the teaching that which of the following laboratory values indicates effective treatment of dehydration?

Urine specific gravity 1.020

BUN 28 mg/dl

Serum hematocrit 55%

Serum osmolarity 310 mOsm

Answer and Explanation

The Correct Answer is D

A. Urine specific gravity 1.020: While this value indicates concentrated urine and can be useful in assessing dehydration, it doesn’t specifically confirm effective treatment. High urine specific gravity suggests dehydration because the kidneys are conserving water, but it doesn’t directly confirm the effectiveness of treatment.
B. BUN 28 mg/dl (Blood Urea Nitrogen): Elevated BUN levels can be seen in dehydration, but it's not a direct marker of effective treatment. It indicates dehydration due to increased urea concentration in the blood but doesn’t confirm if the treatment has been effective or not.
C. Serum hematocrit 55%: In dehydration, the blood becomes more concentrated due to water loss, causing an increase in hematocrit levels. However, while this value might indicate dehydration initially, it may not specifically confirm the effectiveness of treatment once initiated.
D. Serum osmolarity 310 mOsm: Serum osmolarity measures the concentration of particles in the blood. In dehydration, the blood becomes more concentrated, leading to increased serum osmolarity. When treatment is effective, rehydration occurs, diluting the blood and bringing serum osmolarity back toward normal levels. Therefore, a decrease in serum osmolarity towards the normal range (280-300 mOsm) would indicate effective treatment of dehydration

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Correct Answer is D

Explanation

A. Insulin glargine:
Insulin glargine is a long-acting insulin used to control blood sugar levels in people with diabetes. However, it is typically not the first-line choice for a client with a new diagnosis of metabolic syndrome and an HbA1c of 6.
B. Regular insulin:
Regular insulin is a short-acting insulin used to control blood sugar levels, but it is not typically the first choice for initial management of metabolic syndrome. It may be considered in certain situations, but other options are often explored first.
C. Exenatide:
Exenatide is a medication that belongs to the class of incretin mimetics and is used to improve blood sugar control. However, it may not be the first choice for initial treatment.
D. Metformin:
This is the correct answer. Metformin is a first-line medication for the treatment of type 2 diabetes and is commonly used to manage metabolic syndrome. It helps improve insulin sensitivity and reduce glucose production by the liver.

A. "I will have my partner tilt their head back while I am instilling the drops." B. "I will have my partner lie down on their back while I am instilling the drops. C. "I will pull the pinna upward and outward prior to instilling the drops, D. "I will make sure the solution is cool prior to instilling the drops

Correct Answer is C

Explanation

A. "I will have my partner tilt their head back while I am instilling the drops:"
Tilting the head back is not the recommended position for administering otic (ear) drops. This position can lead to the medication running out of the ear rather than staying in the ear canal.
B. "I will have my partner lie down on their back while I am instilling the drops:"
While lying down is a better position than tilting the head back, it is not as effective as the correct technique of pulling the pinna upward and outward. Lying down may still allow the drops to flow out of the ear.
C. "I will pull the pinna upward and outward prior to instilling the drops:"
This is the correct answer. The proper technique for administering otic drops involves pulling the pinna (outer ear) upward and outward. This straightens the ear canal, facilitating the correct placement of the medication.
D. "I will make sure the solution is cool prior to instilling the drops:"
The temperature of the solution is not typically a specific consideration for ear drops unless otherwise specified by the healthcare provider. Room temperature drops are generally acceptable.

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A nurse is teaching a class about administering IV fluids to treat dehydration. The nurse should include in the teaching that which of the following laboratory values indicates effective treatment of dehydration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6 Which of the following medications should the nurse plan to teach the client about first?

Correct Answer is D

Explanation

A nurse is teaching a client's partner how to administer an otic medication to the client. Which of the following statements by the client's partner indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is teaching a class about administering IV fluids to treat dehydration. The nurse should include in the teaching that which of the following laboratory values indicates effective treatment of dehydration?

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