What is the most accurate indicator of fluid loss or gain in acutely ill patients?
Daily weight.
Intake and output.
Serum osmolality.
Urine specific gravity.
The Correct Answer is A
The correct answer is choice A. Daily weight.
According to MDCalc, daily weight is the most accurate indicator of fluid loss or gain in acutely ill patients, as it reflects changes in total body water.
A weight change of 1 kg corresponds to a fluid change of approximately 1 L.
Choice B is wrong because intake and output measurements can be inaccurate or incomplete, and do not account for insensible fluid losses.
Choice C is wrong because serum osmolality reflects the concentration of solutes in the blood, not the volume of fluid.
Choice D is wrong because urine specific gravity reflects the concentration of solutes in the urine, not the volume of fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Hypercalcemia is a condition in which the calcium level in the blood is above normal.
This can cause various symptoms, such as confusion, constipation, and bradycardia (slow heart rate).
These are the clinical manifestations that the nurse would expect to observe in a client with hypercalcemia.
Choice A is wrong because muscle spasms are not a common symptom of hypercalcemia.
In fact, hypercalcemia can cause muscle weakness and pain.
Choice E is wrong because polyuria (excessive urination) is not a direct symptom of hypercalcemia, but rather a result of kidney problems caused by hypercalcemia.
Hypercalcemia can make the kidneys work harder to filter the excess calcium, leading to dehydration and thirst.
However, this does not necessarily mean that the client will have polyuria.
Normal ranges for calcium levels in the blood are 8.5 to 10.2 mg/dL (milligrams per deciliter) or 2.1 to 2.6 mmol/L (millimoles per liter).
Correct Answer is ["23"]
Explanation
The correct answer is 22.5 mL.
To find the amount of mL, use the formula: (desired dose / available dose) x available volume.
In this case, desired dose = 30 mEq, available dose = 20 mEq, and available volume = 15 mL.
Plug these values into the formula: (30 mEq / 20 mEq) x 15 mL = 22.5 mL.
However, since the instructions say to round to the nearest whole number for adult clients, the final answer is 23 mL.
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