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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vastus lateralis: The vastus lateralis muscle is the preferred site for IM injections in newborns because it is well-developed at birth and can safely accommodate the injection.
B. Deltoid: The deltoid muscle is not well-developed in newborns and is not recommended for IM injections in this age group.
C. Dorsogluteal: The dorsogluteal site is not recommended for newborns due to the risk of injury to the sciatic nerve and the relatively underdeveloped muscle.
D. Ventrogluteal: Although a good site for older children and adults, the ventrogluteal site is not typically used for newborns
Correct Answer is C
Explanation
A. Homemade hash browns 1⁄2 cup: Homemade hash browns may be lower in fat than commercially prepared versions, but they still usually involve frying in oil or butter, making them a higher-fat option compared to some others.
B. Potato salad 1⁄2 cup: Potato salad typically contains mayonnaise, which is high in fat, making it a less suitable choice for a low-fat diet.
C. Mashed potatoes 1⁄2 cup: Mashed potatoes can be made with lower-fat options like skim milk or broth instead of cream and butter. This makes them a more flexible and potentially lower-fat option if prepared correctly.
D. Ten french fries: French fries are deep-fried in oil, which makes them high in fat, even in small quantities.
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