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 D

Explanation

Choice A rationale

Broth is a clear liquid that can help replace sodium and chloride lost through diarrhea. However, it does not contain the necessary amounts of other electrolytes such as potassium and bicarbonate, which are also commonly lost in diarrhea.

Choice B rationale

Apple juice is not a good choice for a child with acute diarrhea. It is high in sugars and can worsen diarrhea. It also does not contain the electrolytes needed to replace those lost through diarrhea.

Choice C rationale

Cherry gelatin is not a suitable choice. While it is a clear liquid that can help with hydration, it does not contain the necessary electrolytes to replace those lost through diarrhea. It is also high in sugars, which can worsen diarrhea.

Choice D rationale

Pedialyte is the best choice for a child with acute diarrhea who reports that he is thirsty. It is a rehydration solution specifically designed to replace fluids and electrolytes lost through 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

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?

Correct Answer is D

Explanation

Choice A 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.