A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?

Decreased hemoglobin (Hgb)

Increased blood urea nitrogen (BUN)

Increased urine ketones

Decreased urine specific gravity

Answer and Explanation

The Correct Answer is B

Choice A reason:
Decreased hemoglobin (Hgb) levels can be indicative of anemia or blood loss, but they are not typically associated with fluid volume deficit. In cases of fluid volume deficit, the Hgb concentration may actually appear elevated due to hemoconcentration as the plasma volume decreases.

Choice B reason:
Increased blood urea nitrogen (BUN) levels are expected in a fluid volume deficit because as the blood volume decreases, the concentration of solutes like urea can increase. This is often due to decreased renal perfusion and subsequent reduced renal function, leading to less urea being excreted through the kidneys.

Choice C reason:
Increased urine ketones are typically associated with diabetic ketoacidosis or starvation, not directly with fluid volume deficit. Ketones are produced when the body breaks down fats for energy, which is not a process directly related to fluid volume status.

Choice D reason:
Decreased urine specific gravity would not be expected in fluid volume deficit; in fact, one would expect the opposite. Specific gravity measures the kidney's ability to concentrate urine. In fluid volume deficit, the urine specific gravity would likely be increased as the body attempts to conserve water.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

Choice A reason:
The statement "The client is Black" does not contribute to the risk of chlamydia based on race alone. Chlamydia infection rates are influenced by a variety of factors, including access to healthcare and socioeconomic status, rather than race itself.

Choice B reason:
Having multiple sexual partners significantly increases the risk of contracting sexually transmitted infections (STIs) like chlamydia because it raises the likelihood of exposure to an infected partner.

Choice C reason:
While being male is not a risk factor in itself, men who have sex with men (MSM) are at a higher risk for STIs like chlamydia due to biological and behavioral factors that facilitate transmission.

Choice D reason:
Engaging in sexual activities with men is a known risk factor for chlamydia among MSM due to the higher prevalence of this STI within this group.

Choice E reason:
The age of 37 does not specifically contribute to the risk of chlamydia. However, chlamydia is more commonly diagnosed in younger individuals, typically those under 25 years old, due to higher rates of new and multiple sexual partnerships.

A. The coping ability of the client B. The client's bowel sounds C. The patency of the NG tube D. The surgical dressing E. None F. None

Correct Answer is C

Explanation

Choice A reason:
Assessing the coping ability of the client is important, but it is not the immediate priority following abdominal surgery. The nurse must first ensure that the client's physiological needs are met and that there are no immediate postoperative complications.

Choice B reason:
While monitoring bowel sounds can provide valuable information about the return of gastrointestinal function, it is not the most immediate concern postoperatively. The nurse should prioritize assessments that ensure the client's safety and immediate physiological stability.

Choice C reason:
Ensuring the patency of the NG tube is the priority assessment. A patent NG tube is crucial for decompressing the stomach, preventing nausea and vomiting, and reducing the risk of aspiration, which can be life-threatening. It is also essential for the removal of gastric secretions and to prevent abdominal distention, which can compromise the surgical site and lead to complications such as wound dehiscence.

Choice D reason:
Assessing the surgical dressing is important to check for signs of bleeding or infection. However, the patency of the NG tube takes precedence as it is directly related to the client's airway and breathing, which are always the top priorities in postoperative care.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client who has just returned from the Post-Anesthesia Care Unit (PACU) with an intravenous (IV) fluid infusion and a nasogastric (NG) tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

Correct Answer is C

Explanation

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

A nurse is assessing a client who has a cast in place for a fractured tibia. Which of the following actions should the nurse take first?

A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?

A nurse is preparing a client for surgery. Which of the following is a priority when completing an assessment preoperatively?

A nurse is caring for a male client who has chronic glomerulonephritis. Which of the following findings should the nurse expect?

A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?

A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?