A nurse is reviewing the laboratory report of a client who has been experiencing a fever for the last 3 days. Which of the following laboratory results indicates the client is experiencing fluid volume deficit?
Decreased blood urea nitrogen (BUN)
Increased hematocrit
Decreased urine specific gravity
Increased calcium level
The Correct Answer is B
A. Decreased blood urea nitrogen (BUN): BUN typically increases with dehydration.
B. Increased hematocrit: Hemoconcentration occurs in dehydration, increasing hematocrit levels.
C. Decreased urine specific gravity: Dehydration typically causes an increase in urine specific gravity.
D. Increased calcium level: Calcium levels do not directly indicate fluid volume status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Observations about family relationships: Personal relationship details are not required unless relevant to care.
B. Response to pain medication: Pain management effectiveness is crucial for continuity of care.
C. Review of ongoing discharge plan: The receiving unit should be aware of discharge plans to provide appropriate care.
D. Recent physical changes: Any changes in condition must be reported for safe care continuation.
E. Comprehensive demographic information: Basic demographic details are in the medical record and do not need to be included in a verbal report.
Correct Answer is B
Explanation
A. "I can exercise as late as 1 hour before bedtime." Exercise close to bedtime can increase alertness and make it harder to fall asleep. It is recommended to finish exercising at least 3-4 hours before bedtime.
B. "I should reduce my fluid intake 2 hours before bedtime." Reducing fluid intake before bedtime helps minimize nocturia, which can disrupt sleep.
C. "I should take a 1-hour nap each day." Long or frequent naps can interfere with nighttime sleep. If naps are needed, they should be limited to 20-30 minutes earlier in the day.
D. "I can eat a large meal as late as 1 hour before bedtime." Eating a heavy meal before bed can cause discomfort and acid reflux, which may disrupt sleep. A light snack is preferable.
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