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A nurse is assessing a client who has dehydration.
Which of the following findings should the nurse expect?

A.

Cloudy urine.

B.

Urine osmolality of 200 mOsm/kg.

C.

Urine specific gravity of 1.015.

D.

Dark-colored urine.

Answer and Explanation

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 D

Explanation

Choice A rationale

Instilling ophthalmic medication directly on the cornea can cause irritation and discomfort. Medications should be administered in the conjunctival sac.

Choice B rationale

Asking the client to tightly squeeze their eyes shut after instillation can expel the medication, reducing its effectiveness. Gentle closing of the eyes is recommended.

Choice C rationale

Cleaning the eye from the outer canthus to the inner canthus is not the proper method. The correct method is to clean from the inner canthus to the outer canthus to avoid contaminating the inner eye.

Choice D rationale

Applying pressure to the nasolacrimal duct after instillation helps prevent the medication from draining into the nasolacrimal system, ensuring better absorption in the eye.

Correct Answer is C

Explanation

Choice A rationale

Including toilet paper with the collected urine can contaminate the sample and affect the accuracy of the test results.

Choice B rationale

The first void at the start of the collection period should be discarded to ensure that only urine produced during the 24-hour period is collected.

Choice C rationale

Refrigerating the urine during the collection period helps preserve the sample and prevent bacterial growth, which could alter the test results.

Choice D rationale

The last void at the end of the collection period should be included to ensure that the full 24-hour period is accounted for in the collection.

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