A nurse is collecting data on a client who has dehydration. Which of the following findings should the nurse expect?
Urine osmolality of 200 mOsm/kg
Cloudy urine
Dark-colored urine
Urine specific gravity of 1.015
The Correct Answer is C
Choice A reason: Urine osmolality of 200 mOsm/kg is lower than expected in dehydration. Dehydration typically results in higher osmolality due to the concentration of urine.
Choice B reason: Cloudy urine can be a sign of infection or other conditions, but it is not a specific indicator of dehydration.
Choice C reason: Dark-colored urine is a common finding in dehydration as the body conserves water, leading to
more concentrated urine.
Choice D reason: A urine specific gravity of 1.015 is within the normal range. In dehydration, we would expect a higher specific gravity, indicating more concentrated urine.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Dark-colored urine can be a sign of dehydration or the presence of certain substances in the urine, such as blood or bile, but it is not typically associated with urinary retention.
Choice B reason: Leakage of urine, or overflow incontinence, can occur in urinary retention when the bladder is overfilled and the pressure within the bladder exceeds urethral resistance. This can lead to involuntary release of urine.
Choice C reason: Blood in the urine, or hematuria, can indicate various conditions, including infections, stones, or tumors, but it is not a common finding specifically associated with urinary retention.
Choice D reason: Cloudy urine may suggest the presence of phosphates (a normal occurrence in alkaline urine), infection, or the presence of pus (pyuria). While it could be associated with a urinary tract infection that might lead to urinary retention, cloudy urine itself is not a direct indicator of urinary retention.
Correct Answer is A
Explanation
Choice A reason: With aging, there is a slight slowing in the movement of contents through the large intestine and a modest decrease in the contractions of the rectum when filled with stool, leading to decreased intestinal peristalsis.
Choice B reason: Aging does not typically result in a decreased pH of the stomach. Instead, conditions that decrease acid secretion, such as atrophic gastritis, become more common with age.
Choice C reason: Increased muscle tone of the bowel is not a change associated with aging. In fact, muscle tone may decrease, contributing to issues such as constipation.
Choice D reason: Increased gastric acid production is not a typical physiological change with aging. The secretion of stomach juices such as acid and pepsin has little effect on aging, although conditions that decrease acid secretion become more common.
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