An LPN is reviewing the laboratory tests results for a client who has an elevated temperature.

The nurse should identify which of the following findings is a manifestation of dehydration.

Select all that apply.

Increased glucose

Blood creatinine 0.6 mg/dL

Blood osmolarity 260 mOsm/kg

Urine Specific gravity 1.035 .

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

Increased glucose levels can be a sign of dehydration. When the body is dehydrated, it can cause blood sugar levels to rise.

Choice B rationale

A blood creatinine level of 0.6 mg/dL is within the normal range and does not typically indicate dehydration.

Choice C rationale

An increased blood osmolarity, such as 260 mOsm/kg, can be a sign of dehydration. When the body is dehydrated, the concentration of solutes in the blood can increase, leading to higher osmolarity.

Choice D rationale

A high urine specific gravity, such as 1.035, can indicate dehydration. This measurement reflects the concentration of solutes in the urine, and a high value can mean that the body is conserving water due to dehydration.

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Correct Answer is B

Explanation

Choice A rationale

Hypothermia is not a typical finding in a client who has had diarrhea for several days. Diarrhea does not typically affect the body’s ability to regulate temperature.

Choice B rationale

Dehydration is a common finding in a client who has had diarrhea for several days. Diarrhea can lead to significant fluid and electrolyte loss, causing dehydration.

Choice C rationale

Decreased bowel sounds are not typically associated with diarrhea. In fact, hyperactive bowel sounds are more common due to increased intestinal motility.

Choice D rationale

A rigid abdomen is not a typical finding in a client who has had diarrhea for several days. A rigid abdomen may indicate a serious condition such as peritonitis or bowel obstruction, which are not typically associated with diarrhea.

A. Administer glucagon IM. B. Discontinue the TPN infusion. C. Request a potassium replacement. D. Check the patient for a positive Chvostek’s sign.

Correct Answer is C

Explanation

The correct answer is Choice C.

Step 1 is to interpret the laboratory values. The glucose level is within the normal range (7099 mg/dL). The chloride level is within the normal range (97-107 mEq/L). The sodium level is within the normal range (135-145 mEq/L). However, the potassium level is low (normal range is 3.5-5.0 mEq/L)89101112.

Step 2 is to plan the action based on the interpretation. Given the low potassium level, the nurse should plan to request a potassium replacement

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An LPN is reviewing the laboratory tests results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is reviewing the laboratory values of a patient receiving total parenteral nutrition (TPN). The glucose is 72 mg/dL, chloride is 100 mEq/L, sodium is 138 mEq/L, and potassium is 3.0 mEq/L. What action should the nurse plan to take?

Correct Answer is C

Explanation

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An LPN is reviewing the laboratory tests results for a client who has an elevated temperature.

The nurse should identify which of the following findings is a manifestation of dehydration.

Select all that apply.