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

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason: Aluminum-containing antacids are more likely to cause constipation rather than diarrhea.

Choice B reason: Magnesium-containing antacids can cause diarrhea because magnesium can act as an osmotic laxative, drawing water into the intestines and increasing peristalsis.

Choice C reason: While antibiotics can disrupt the gut flora and potentially cause diarrhea, they are not the best
answer when compared to magnesium-containing antacids specifically known for this side effect.

Choice D reason: Anticholinergics/antispasmodics typically reduce gastrointestinal motility, which would more likely lead to constipation instead of diarrhea.

Choice E reason: Opioid narcotics are known to cause constipation due to reduced gut motility, not diarrhea

A. Aspirate fluid from the IV cannula. B. Place the affected extremity below the level of the client's heart. C. Slow the IV infusion. D. Place a pressure dressing over the IV site.

Correct Answer is C

Explanation

Choice A reason: Aspirating fluid from the IV cannula is not recommended as it does not address the issue of infiltration or extravasation.

Choice B reason: Placing the affected extremity below the level of the client's heart could worsen the swelling and is
not recommended.

Choice C reason: Slowing the IV infusion is a correct immediate action to minimize further infiltration and should be done while further assessment and interventions are planned.

Choice D reason: Placing a pressure dressing over the IV site is not recommended as it may exacerbate the infiltration
and increase discomfort.

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