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A nurse is reviewing the medical record of a client who has a fluid volume deficit.
The nurse should expect which of the following findings?

Urine specific gravity 1.020.

Urine output 15 mL/hr.

Hct 43%.

BUN 12 mg/dL.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Urine specific gravity 1.020 is within the normal range (1.005-1.030), so it does not indicate fluid volume deficit.

Choice B rationale:

Urine output 15 mL/hr is less than the normal minimum of 30 mL/hr, indicating fluid volume deficit.

Choice C rationale:

Hct 43% is within the normal range (38.8-50.0 for men, 34.9-44.5 for women), so it does not indicate fluid volume deficit.

Choice D rationale:

BUN 12 mg/dL is within the normal range (7-20 mg/dL), so it does not indicate fluid volume deficit.

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Correct Answer is C

Explanation

Choice A rationale:

The thickest part of the heart is not the upper chambers but the lower chambers, specifically the left ventricle. This is because it needs to pump blood to the entire body.

Choice B rationale:

Blood leaves the heart through the lower chambers, or ventricles, not the upper chambers.

Choice C rationale:

Blood enters the heart through the upper chambers, or atria. This is where deoxygenated blood from the body and oxygenated blood from the lungs first enter the heart.

Choice D rationale:

The term “ventricles” refers to the lower chambers of the heart, not the upper chambers.

A. Obtain the number of the client's provider. B. Find a location for the client to sit. C. Drive the client to the nearest emergency room. D. Call emergency medical services.

Correct Answer is D

Explanation

Choice A rationale:

Obtaining the number of the client’s provider is not the immediate action to take. The client is showing signs of a possible stroke (right-sided weakness and slurred speech), which is a medical emergency.

Choice B rationale:

Finding a location for the client to sit is not the immediate action to take. The client needs medical attention immediately due to the signs of a possible stroke.

Choice C rationale:

Driving the client to the nearest emergency room is not the best action to take. It would be faster and safer to call emergency medical services who are trained to handle such situations.

Choice D rationale:

Calling emergency medical services is the correct action. The client is showing signs of a possible stroke, which requires immediate medical attention.

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A nurse is reviewing the medical record of a client who has a fluid volume deficit.The nurse should expect which of the following findings?

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A nurse is reviewing the medical record of a client who has a fluid volume deficit.
The nurse should expect which of the following findings?