An LPN is reviewing the laboratory tests results for a client who has an elevated temperature.

The nurse should identify which of the following findings is a manifestation of dehydration.

Select all that apply.

Increased glucose

Blood creatinine 0.6 mg/dL

Blood osmolarity 260 mOsm/kg

Urine Specific gravity 1.035 .

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

Increased glucose levels can be a sign of dehydration. When the body is dehydrated, it can cause blood sugar levels to rise.

Choice B rationale

A blood creatinine level of 0.6 mg/dL is within the normal range and does not typically indicate dehydration.

Choice C rationale

An increased blood osmolarity, such as 260 mOsm/kg, can be a sign of dehydration. When the body is dehydrated, the concentration of solutes in the blood can increase, leading to higher osmolarity.

Choice D rationale

A high urine specific gravity, such as 1.035, can indicate dehydration. This measurement reflects the concentration of solutes in the urine, and a high value can mean that the body is conserving water due to dehydration.

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Correct Answer is D

Explanation

Choice A rationale

While it’s true that bulimia nervosa can have serious health consequences, telling the patient that they “should stop because they need to” may come across as dismissive of the patient’s struggle. It’s important to remember that bulimia nervosa is a complex mental health disorder that often requires professional treatment.

Choice B rationale

Asking the patient why they engage in their behavior might seem like a logical question, but it could potentially make the patient feel defensive or blamed for their condition. It’s important to approach the conversation with empathy and understanding.

Choice C rationale

While it’s important to validate the patient’s feelings and experiences, saying “I’m proud of you for recognizing that this behavior is not normal” might not be the most therapeutic response. This statement could potentially reinforce the idea that their behavior is “abnormal,” which could lead to feelings of shame or guilt.

Choice D rationale

Expressing empathy and understanding, as in “It seems like you are feeling helpless about this behavior,” can be a therapeutic response. This statement acknowledges the patient’s feelings and opens up the conversation for further exploration of their experiences and potential coping strategies.

A. Request the providers to initiate antibiotic therapy for every patient on the unit. B. Perform hand hygiene with an alcohol-based agent. C. Obtain stool cultures from all patients on the nursing unit. D. Place all patients who have symptoms on contact precautions.

Correct Answer is D

Explanation

Choice A rationale

Requesting the providers to initiate antibiotic therapy for every patient on the unit is not the most appropriate action. Antibiotics should only be used when there is a confirmed bacterial infection. Overuse of antibiotics can lead to antibiotic resistance and can potentially trigger C. difficile infection due to disruption of normal gut flora.

Choice B rationale

While performing hand hygiene with an alcohol-based agent is important in general infection control, it is not the most effective measure against C. difficile.

C. difficile spores are resistant to destruction by alcohol-based hand rubs. Therefore, hand hygiene for C. difficile should involve washing with soap and water.

Choice C rationale

Obtaining stool cultures from all patients on the nursing unit is not the most appropriate action. Stool cultures should be obtained from patients who are symptomatic. Testing asymptomatic patients can lead to false positives and unnecessary treatment.

Choice D rationale

Placing all patients who have symptoms on contact precautions is the correct answer. Contact precautions, including the use of gloves and gowns, can prevent the spread of C. difficile. This is because C. difficile is spread via the fecal-oral route, and its spores can survive on surfaces for long periods.

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An LPN is reviewing the laboratory tests results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 20-year-old college student with a 2-year history of bulimia nervosa. The student tells the nurse, “I know my eating binges and vomiting are not normal, but I can’t do anything about them.”. What would be a therapeutic response from the nurse?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

A nurse on a medical-surgical unit suspects that several patients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. What actions should the nurse plan to take while waiting for the patients’ lab results?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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An LPN is reviewing the laboratory tests results for a client who has an elevated temperature.

The nurse should identify which of the following findings is a manifestation of dehydration.

Select all that apply.