A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

Urine output 20 mL/hr

Bradycardia

Sodium 142 mEq/L

Cool skin

Answer and Explanation

The Correct Answer is A

A. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.

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Correct Answer is A

Explanation

A. Dispose of the needle uncapped: The safest method to avoid needle-stick injuries and potential exposure to bloodborne pathogens, including hepatitis C, is to dispose of the needle immediately without recapping.
B. Ask another nurse to recap the needle: Asking another nurse to recap the needle still poses a risk of needle-stick injury and is not a recommended practice.
C. Place the cap on the table and slide the needle into the cap: This method, known as the "scoop" technique, reduces the risk compared to hand recapping but is still not the best practice. Proper sharps disposal is the preferred method.
D. Recap the needle: Recapping needles is discouraged due to the high risk of accidental needle-stick injuries.

A. Decreased BUN B. Increased urine specific gravity C. Increased urine ketones D. Decreased hematocrit

Correct Answer is B

Explanation

A. Decreased BUN: Fluid volume deficit typically leads to increased BUN (blood urea nitrogen) due to hemoconcentration.
B. Increased urine specific gravity: Increased urine specific gravity indicates more concentrated urine, which is a common finding in fluid volume deficit.
C. Increased urine ketones: Increased urine ketones are associated with conditions like diabetes and starvation, not specifically fluid volume deficit.
D. Decreased hematocrit: Fluid volume deficit usually results in increased hematocrit due to hemoconcentration.

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