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A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

 

A.

Urine specific gravity 1.005 to 1.030

B.

Decreased pulse pressure

C.

Lightheadedness

D.

Urine output 75 mL in 1 hr

Answer and Explanation

The Correct Answer is D

The correct answer is D. Urine output 75 mL in 1 hr.

Adequate urine output (at least 30 mL/hr) indicates effective hydration, showing that the kidneys are functioning properly and fluid balance is improving. A urine output of 75 mL in 1 hour suggests sufficient fluid replacement.

Here’s why the other options are incorrect:

  • A. Urine specific gravity 1.005 to 1.030 – This range covers both normal and abnormal values. In dehydration, urine specific gravity is usually high (>1.030) due to concentrated urine. Effective treatment should lead to lower urine specific gravity, but the full range does not confirm improvement.

  • B. Decreased pulse pressure – Pulse pressure is the difference between systolic and diastolic blood pressure. Dehydration typically causes a narrowed pulse pressure, so improvement should lead to a normal or increased pulse pressure rather than a decrease.

  • C. Lightheadedness – Dizziness and lightheadedness are signs of dehydration-related hypotension. Effective hydration should resolve these symptoms, not maintain them.


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Related Questions

Correct Answer is ["15"]

Explanation

Step 1: The total amount of amantadine required per dose is 150 mg.

Step 2: Each 5 mL of syrup contains 50 mg of amantadine.

Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of syrup. So, (150 mg ÷ 50 mg/5 mL).

Step 4: The result is 15 mL.

So, the nurse should administer 15 mL per dose. This is already a whole number, so no rounding is necessary.

Correct Answer is D

Explanation

Choice A reason: Blood-tinged dialysate outflow can occur initially due to the surgical procedure and is not typically a cause for immediate concern unless it persists or is accompanied by other symptoms.

Choice B reason: Dialysate leakage during inflow might indicate a problem with the catheter placement or integrity but is not usually an emergency. It should be monitored and reported if it continues.

Choice C reason: Discomfort during dialysate inflow is common, especially in new patients, as they adjust to the sensation of fluid being infused. It should be reported if the discomfort is severe or persistent.

Choice D reason: Purulent dialysate outflow indicates an infection, such as peritonitis, which is a serious complication

of peritoneal dialysis. This requires immediate atention and intervention by the healthcare provider.

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