A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider?

Hematocrit 45% (37% to 52%)

Creatinine 0.9 mg/dL (0.5-1.2 mg/dL)

BUN 25 mg/dL (10-20 mg/dL)

Urine specific gravity 1.028 (1.005 to 1.030)

Answer and Explanation

The Correct Answer is C

A. Hematocrit 45% (37% to 52%): This value is within the normal range for hematocrit. Dehydration may increase the hematocrit due to a relative increase in red blood cell concentration, but 45% is still within normal limits.

B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL): This value is within the normal range for creatinine, indicating normal kidney function.

C. BUN 25 mg/dL (10-20 mg/dL): An elevated BUN level is a sign of dehydration as it reflects increased protein breakdown and decreased renal perfusion. This value is above the normal range and should be reported to the provider.

D. Urine specific gravity 1.028 (1.005 to 1.030): This value is within the normal range and indicates that the kidneys are concentrating urine, which is typical in dehydration as the body tries to conserve water.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Urine output 20 mL/hr: A urine output of 20 mL/hr is on the low side but can still be expected in dehydration, as the body attempts to conserve water. Normal urine output is 30 mL/hr or more, so this could still be a sign of dehydration.

B. Sodium 142 mEq/L (136 to 145 mEq/L): This sodium level is within the normal range. Dehydration may cause sodium to be elevated if water loss is more significant than sodium loss, but a normal value does not indicate dehydration.

C. Cool skin: Cool skin is a typical finding in dehydration, particularly in severe cases, due to reduced peripheral circulation and vasoconstriction as the body tries to maintain core temperature and blood pressure.

D. Bradycardia: Dehydration usually causes tachycardia as a compensatory mechanism to maintain blood pressure and perfusion, not bradycardia.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Answer: I. Temperature
II. Antibiotic therapy

I. Temperature: The client has a fever (37.3°C), which can be a sign of infection or another serious condition. The first priority is to address the fever, as it may indicate a systemic infection, which needs immediate intervention. Fever is usually managed with antipyretics such as acetaminophen.

II. Antibiotic therapy: Since the client has a fever and possible infection, antibiotic therapy should be initiated early (as per the provider’s orders) to treat the suspected infection. Broad-spectrum antibiotics are often started while waiting for culture results.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is assisting in the care of a client in the emergency department. Exhibits Complete the following sentence by using the list of options. The nurse should first address the client's dropdown followed by the client's dropdown .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A nurse is collecting data from a client who has a sodium level of 128 mEq/L (136-145 mEq/L) Which of the following manifestations should the nurse expect?

A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL (9-10.5 mg/dL). Which of the following client findings should the nurse expect?

A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?

An older adult nursing home resident who has always been alert and oriented is now showing signs of dehydration and has become confused. Which electrolyte imbalance is most likely involved?

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Which of the following solutions can be administered with a blood component?

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L (3.5 -5 mEq/L). The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?