A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Rigid abdomen
Hypothermia
Dehydration
Decreased bowel sounds
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To calculate the amount of potassium chloride suspension the nurse should administer, we can use the formula:
Amount of medication (mL) = Desired dose (mEq) / Concentration (mEq/mL)
In this case, the desired dose is 20 mEq, and the concentration of the potassium chloride suspension is 10 mEq/mL.
Amount of medication (mL) = 20 mEq / 10 mEq/mL Amount of medication (Ml) = 2 mL
Therefore, the nurse should administer 2 mL of the potassium chloride suspension.
Correct Answer is D
Explanation
A. Decreased urine specific gravity:In fluid volume deficit, urine becomes more concentrated due to decreased kidney perfusion and water conservation by the body. This results in an increased urine specific gravity.
B. Decreased Hgb:Fluid volume deficit typically leads to hemoconcentration because there is less plasma volume, which makes hemoglobin and hematocrit levels appear elevated.
C. Increased urine ketones:While increased urine ketones may occur in dehydration associated with starvation or diabetic ketoacidosis (DKA), it is not a hallmark finding in general fluid volume deficit. The presence of ketones depends on the underlying cause, not on fluid volume status alone.
D. Increased BUN:Blood urea nitrogen (BUN) increases in fluid volume deficit because of hemoconcentration and reduced kidney perfusion, which slows the excretion of urea. The ratio of BUN to creatinine is often elevated in dehydration (>20:1).
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