Nursing 212 Fluids and Electrolytes (Well-enlightened)

A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should expect which of the following findings? (Select all that apply.) A. Distended neck veins B. Hyperthermia C. Tachycardia D. Syncope E. Decreased skin turgor correct answers C. Tachycardia D. syncope E. Decreased skin turgor A nurse on a medical-surgical unit is caring for a group of clients. The nurse should identify that which of the following clients is at risk for hypovolemia? A. A client who has nasogastric suctioning B. A client who has chronic constipation. C. A client who has syndrome of inappropriate antidiuretic hormone D. A client who took an overdose of sodium bicarbonate antacids correct answers A. A client who has nasogastric suctioning -The nurse should identify that client who has nasogastric suctioning is at risk for hypovolemia due to excessive gastrointestinal losses. A nurse is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should recognize which of the following findings is a manifestation of dehydration? (Select all that apply.) A. Hct 55% B. Serum osmolarity 260 mOsm/kg C. Serum sodium 150 mEq/L D. Urine specific gravity 1.035 E. Serum creatinine 0.6 mg/dL correct answers A. Hct 55%, this Hct is greater than the expected reference range of 42-52% for men and 37-47% for women and is an indication of dehydration due to hemoconcentration. C. Serum sodium 150 mEq/L. This serum sodium level is greater than the expected reference range of 136-145 mEq/L and is an indication of dehydration due to hemoconcentration. D. Urine specific gravity 1.035. This urine specific gravity is greater than the expected reference range of 1.005-1.030. An increased urine specific gravity is an indication of dehydration. A nurse on a medical-surgical unit is caring for a group of clients. For which of the following clients should the nurse anticipate a prescription for fluid restriction. A. A client who has a new diagnosis of adrenal insufficiency B. A client who has heart failure C. A client who is receiving treatment for diabetic ketoaacidoses D. A client who has abdominal ascites. correct answers B. A client who has heart failure