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. Purplish colored stoma: A purplish colored stoma indicates compromised blood flow and possible necrosis, which is an emergency and must be reported immediately.
B. No stool noted in the collection bag: It is normal for there to be no stool in the collection bag 12 hours postoperatively as bowel function may not yet have resumed.
C. Edematous stoma: Edema of the stoma is common in the immediate postoperative period and usually subsides with time.
D. Slight bleeding of the stoma site: Slight bleeding at the stoma site can be normal immediately after surgery due to the manipulation of tissues.

A. Urine specific gravity 1.034 B. Bounding pulse C. Distended neck veins D. BP 146/94 mm Hg

Correct Answer is A

Explanation

A. Urine specific gravity 1.034: A urine specific gravity of 1.034 indicates very concentrated urine, which is a sign of dehydration.
B. Bounding pulse: A bounding pulse is typically associated with fluid overload, not dehydration.
C. Distended neck veins: Distended neck veins are a sign of fluid overload, not dehydration.
D. BP 146/94 mm Hg: Elevated blood pressure is not a typical sign of dehydration; dehydration often leads to low blood pressure or orthostatic hypotension.

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

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