A nurse is reviewing the laboratory test results for a male client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration?
Hct 48%
Urine specific gravity 1.040
Blood creatinine 0.6 mg/dL
Blood sodium 140 mEq/L
The Correct Answer is B
A. While a slightly elevated hematocrit can be associated with dehydration, it's not as specific as urine specific gravity.
B. This indicates concentrated urine, which is a classic sign of dehydration. Normal urine specific gravity is typically between 1.005 and 1.030.
C. This is a normal creatinine level and does not indicate dehydration.
D. This is within the normal range for sodium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering preoperative medications is a nursing responsibility but not directly related to informed consent.
B. Witnessing the patient's signature is the nurse's primary responsibility regarding informed consent in the preoperative period. This verifies that the patient understands the procedure and voluntarily agrees to it.
C. Explaining the surgical procedure is the responsibility of the surgeon or physician.
D. Monitoring vital signs is a postoperative responsibility.
Correct Answer is ["C"]
Explanation
A. Asking the client to read their identification bracelet can be additional verification steps, but it is not standard practice for all institutions
B. To point to the surgical site can be additional verification steps, but it is not standard practice for all institutions.
C. Using two acceptable client identifiers, such as the client's name and date of birth, to confirm the patient's identity.
D. It is important to verify that the surgical site has been marked, which is a critical step in preventing wrong-site surgery.
E. Asking the client to state the surgery being performed is a good practice as it involves the patient in their care and serves as a final verification of the correct procedure.
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