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?

Urine specific gravity 1.005 to 1.030

Decreased pulse pressure

Lightheadedness

Urine output 75 mL in 1 hr

Answer and Explanation

The Correct Answer is A

Choice A reason: A urine specific gravity within the normal range of 1.005 to 1.030 indicates adequate hydration and is a sign of effective treatment for dehydration.

Choice B reason: Decreased pulse pressure may indicate hypovolemia, not effective treatment of dehydration.

Choice C reason: Lightheadedness is a symptom of dehydration, not an indication of effective treatment.

Choice D reason: Urine output of 75 mL in 1 hour may be considered low and does not necessarily indicate effective treatment for dehydration.

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Correct Answer is D

Explanation

Choice A reason: A hemoglobin level of 16 g/dL is within the normal range and does not indicate acute kidney injury.

Choice B reason: A BUN level of 15 mg/dL is also within the normal range and does not suggest acute kidney injury.

Choice C reason: A serum potassium level of 4.5 mEq/L is within the normal range and is not indicative of acute kidney injury.

Choice D reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury.

A. The client states that they consume a high calcium diet and have had high calcium in their blood. B. The client reports that they had two urinary tract infections (UTI) in the past 10 months. C. The client reports that they took a lot of ibuprofen for arthritis for many years. D. The client states that they remember their mother saying their grandmother had this same genetic disease.

Correct Answer is B

Explanation

Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.

Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.

Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.

Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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