A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
Creatinine 0.8 mg/dL
Hgb 15 g/dL
BUN 18 mg/dL
Sodium 149 mEq/L
The Correct Answer is D
Choice A reason: Creatinine 0.8 mg/dL is within the normal range (0.6-1.2), and it does not indicate fluid volume excess. Creatinine is a waste product of muscle metabolism that is filtered by the kidneys. High creatinine levels can indicate kidney damage or impaired renal function.
Choice B reason: Hgb 15 g/dL is within the normal range (13-17 for men, 12-16 for women), and it does not indicate fluid volume excess. Hgb stands for hemoglobin, which is a protein in red blood cells that carries oxygen to the tissues. Low hemoglobin levels can indicate anemia, bleeding, or hemolysis.
Choice C reason: BUN 18 mg/dL is within the normal range (7-20), and it does not indicate fluid volume excess. BUN stands for blood urea nitrogen, which is a waste product of protein metabolism that is filtered by the kidneys. High BUN levels can indicate dehydration, kidney damage, or high protein intake.
Choice D reason: Sodium 149 mEq/L is high and indicates fluid volume excess. Sodium is an electrolyte that helps maintain fluid balance, blood pressure, and nerve impulses. High sodium levels can cause fluid retention, edema, hypertension, and heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Serum creatinine 3.5 mg/dL is high and indicates the need for further assessment. Creatinine is a waste product of muscle metabolism that is filtered by the kidneys. High creatinine levels can indicate kidney damage or impaired renal function.
Choice B reason: Hematocrit 45% is within the normal range (37-47% for women, 40-50% for men), and it does not indicate the need for further assessment. Hematocrit is the percentage of red blood cells in the blood. Low hematocrit levels can indicate anemia, bleeding, or hemolysis.
Choice C reason: Blood urea nitrogen 18 mg/dL is within the normal range (7-20), and it does not indicate the need for further assessment. Blood urea nitrogen is a waste product of protein metabolism that is filtered by the kidneys. High blood urea nitrogen levels can indicate dehydration, kidney damage, or high protein intake.
Choice D reason: Sodium 140 mEq/L is within the normal range (135-145), and it does not indicate the need for further assessment. Sodium is an electrolyte that helps maintain fluid balance, blood pressure, and nerve impulses. Low or high sodium levels can cause confusion, seizures, or coma.
Correct Answer is B
Explanation
Choice A reason: Hamburger is not a suitable food item for a lacto-vegetarian diet because it is made from ground beef, which is an animal product. A lacto-vegetarian diet excludes meat, poultry, fish, and eggs, but allows dairy products.
Choice B reason: Cheese is a suitable food item for a lacto-vegetarian diet because it is a dairy product, which is allowed in this type of diet. Cheese provides protein, calcium, and vitamin B12 for lacto-vegetarians.
Choice C reason: Eggs are not a suitable food item for a lacto-vegetarian diet because they are an animal product. Eggs are excluded from a lacto-vegetarian diet, but they are allowed in an ovo-lacto vegetarian diet, which also includes dairy products.
Choice D reason: Shrimp is not a suitable food item for a lacto-vegetarian diet because it is a seafood product, which is an animal product. Seafood is excluded from a lacto-vegetarian diet, but it is allowed in a pescatarian diet, which also includes dairy products and eggs.
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