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 C

Explanation

A. Weight loss:
Weight lossis not typically associated with methimazole use. In fact, hyperthyroidism (such as in Graves’ disease) can lead to unintentional weight loss due to increased metabolism. Methimazole helps normalize thyroid function, but it doesn’t directly cause weight loss.
B. Increase in pulse rate:
While an increased pulse rate is a symptom of hyperthyroidism, the goal of methimazole treatment is to normalize thyroid function and, consequently, decrease the pulse rate over time.
C. Increased sleeping:
Increased sleeping:Methimazole works by inhibiting the production of thyroid hormones (T3 and T4) in the thyroid gland. It helps normalize thyroid function by reducing excessive hormone synthesis.As thyroid hormone levels decrease due to methimazole, the client’s metabolic rate may slow down. This can lead to feelings of fatigue and increased need for rest, resulting in more sleep.
D. Warmer skin:
Warmer skin is a symptom of hyperthyroidism. With effective treatment using methimazole, the normalization of thyroid function should lead to improved thermoregulation, potentially reducing the sensation of warmer skin.

A. Fever B. Dry cough C. hyperglacemia D. pedal edema

Correct Answer is A

Explanation

A. Fever (Correct Answer): An acute infusion reaction to amphotericin B can manifest with symptoms such as fever, chills, and rigors. An elevated body temperature is indicative of a systemic response to the medication and may suggest an infusion reaction.
B. Dry cough: While respiratory symptoms can be associated with amphotericin B infusion reactions, a dry cough is not a specific indicator. Respiratory symptoms may include dyspnea, chest pain, or coughing, but other signs such as fever are more characteristic of an acute infusion reaction.
C. Hyperglycemia: Hyperglycemia is not typically associated with amphotericin B infusion reactions. The side effects of amphotericin B are more commonly related to its antifungal properties and may include renal toxicity, electrolyte imbalances, and infusion-related reactions, but not hyperglycemia.
D. Pedal edema: Pedal edema (swelling of the feet) is not a typical manifestation of an acute amphotericin B infusion reaction. Infusion reactions are more likely to involve systemic symptoms such as fever, chills, and rigors

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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?

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Naxlex Comprehensive Predictor Exams

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is C

Explanation

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is A

Explanation

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