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. Abdominal pain is not a direct manifestation of respiratory acidosis. However, it may be associated with other conditions or complications but is not a primary indicator of respiratory acidosis.
B. Lethargy or drowsiness is a common symptom of respiratory acidosis. The increased CO₂ levels lead to an acidic environment that can affect brain function, resulting in decreased alertness, confusion, or drowsiness.
C. Numbness or tingling of the fingers is more commonly associated with respiratory alkalosis, which is characterized by a decreased level of CO₂ and increased blood pH. This condition can cause peripheral numbness and tingling due to altered blood pH affecting nerve function.
D. Dry skin is not a direct manifestation of respiratory acidosis. While it might be a sign of dehydration or other systemic issues, it is not specifically linked to respiratory acidosis.
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.
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