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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Caffeinated beverages can cause diarrhea as caffeine stimulates the gastrointestinal tract and can
lead to increased bowel movements.
Choice B reason: Ripe bananas are typically recommended to manage diarrhea due to their pectin content, which can help absorb liquid in the intestines.
Choice C reason: White rice is often recommended for those with diarrhea as it is easy to digest and can help form
stools.
Choice D reason: Low fiber cereal is less likely to cause diarrhea compared to high fiber options, as fiber can accelerate the passage of food through the intestines.

Correct Answer is D
Explanation
Choice A reason: Cerebral edema is not typically a manifestation of hyperkalemia. Hyperkalemia can cause neurological symptoms due to its effect on nerve transmission, but cerebral edema is more commonly associated with conditions like traumatic brain injury, stroke, or brain tumors.
Choice B reason: Wheezing is a respiratory symptom and is not directly related to hyperkalemia. It is more commonly associated with respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD).
Choice C reason: Hypoactive bowel sounds may indicate a gastrointestinal issue but are not a specific sign of hyperkalemia. Hyperkalemia can affect smooth muscle contraction and could potentially lead to intestinal motility issues, but this is not a primary manifestation.
Choice D reason: Decreased deep tendon reflexes can be a manifestation of hyperkalemia. Hyperkalemia affects the neuromuscular junction and can lead to muscle weakness, which may manifest as decreased reflexes. Normal potassium levels in the blood are typically between 3.5 and 5.0 millimoles per liter (mmol/L). Hyperkalemia occurs when potassium levels rise above 5.5 mmol/L.
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