The client’s 24-hour urine output is 750 mL and an amber color, oral intake is 1700 mL, and the weight has increased 3 kilograms in 2 days.
The client is irritable and states “I have a headache.” Which laboratory value most correlates with these signs and symptoms?
Hemoglobin 15.3 mg/dL.
Serum Osmolality 265 mOsm/Kg.
Serum Sodium 134 mEq/L.
Urine specific gravity 1.025.
The Correct Answer is B
This indicates that the client has a fluid volume deficit, which is consistent with the signs and symptoms of low urine output, weight gain, irritability, and headache. The normal range for serum osmolality is 275 to 295 mOsm/Kg.
Choice A is wrong because hemoglobin 15.3 mg/dL is within the normal range of 12 to 18 mg/dL and does not correlate with fluid imbalance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This needle size is appropriate for an intramuscular injection into the deltoid of a 175-pound adult male with a viscous fluid.
The needle length should be long enough to reach the muscle through the subcutaneous tissue, and the needle gauge should be suitable for the viscosity of the fluid. A 23-gauge needle is a common choice for intramuscular injections.
Choice A is wrong because a 1/2 inch needle is too short to reach the deltoid muscle in an adult male.
Choice C is wrong because a 1-1/2 inch needle is too long and may cause injury to the underlying nerves or blood vessels.
Choice D is wrong because a 16-gauge needle is too large and may cause excessive tissue trauma and pain.
Correct Answer is C
Explanation
This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.
Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis
C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.
Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.
Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis
C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis
C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis
C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.
Some common tests are:
- Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.
A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.
- HCV RNA test: This test measures the amount of hepatitis C virus in the blood.
A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.
- HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.
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