A nurse is assessing a client who has dehydration.
Which of the following findings should the nurse expect?
Cloudy urine.
Urine osmolality of 200 mOsm/kg.
Urine specific gravity of 1.015.
Dark-colored urine.
The Correct Answer is D
Choice D rationale
Dark-colored urine is a common indicator of dehydration. When the body is dehydrated, urine becomes more concentrated, leading to darker color due to higher levels of waste products.
Choice A rationale
Cloudy urine is not typically associated with dehydration. It may indicate the presence of an infection, inflammation, or other medical conditions.
Choice B rationale
Urine osmolality of 200 mOsm/kg suggests diluted urine, which is contrary to the expectation in dehydration. Dehydration would typically result in higher urine osmolality as the kidneys conserve water.
Choice C rationale
Urine specific gravity of 1.015 falls within the normal range (1.005 to 1.030). In dehydration, specific gravity would be expected to be higher as the urine becomes more concentrated to conserve water.
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View Related questions
Correct Answer is B
Explanation
Choice A rationale
Placing the client into a right lateral position is not the standard position for administering an enema. The left lateral (Sims') position is commonly used as it facilitates the flow of the
solution into the colon.
Choice B rationale
Warming the enema solution to room temperature helps ensure the client's comfort and can prevent cramping and discomfort. Cold solutions can cause discomfort and cramping,
making the procedure less tolerable for the client.
Choice C rationale
Sterile technique is not required for administering an enema. Clean technique is generally sufficient unless otherwise indicated by the client’s condition or specific medical orders.
Choice D rationale
Lubricating the tubing is essential to ensure smooth insertion and prevent trauma to the rectal mucosa, but an oil-based lubricant is not typically used as it can interfere with the
absorption of the enema solution. Water-soluble lubricants are preferred.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Anticholinergics/antispasmodics can cause constipation by reducing the muscle contractions of the gastrointestinal tract, leading to slower movement of contents and resulting in constipation.
Choice B rationale
Opioid narcotics cause constipation by binding to opioid receptors in the gastrointestinal tract, which decreases intestinal motility and inhibits the secretion of fluids, leading to hard and dry stools.
Choice C rationale
Iron supplements can cause constipation as a common side effect due to their effect on the gastrointestinal tract. They can make stools harder and more difficult to pass.
Choice D rationale
Magnesium-containing antacids typically do not cause constipation. In fact, they are more likely to have a laxative effect due to the presence of magnesium, which can increase water in the intestines and soften stools.