62. A client's laboratory results reveal: Hct 52, K+ 5.0, BUN 35, creatinine 1.1. Vital signs are: BP 102/60 mm Hg, P 124, R 20, T 38.7°C, and O2 Sat 96%. A possible explanation of these findings would be:
62. A client's laboratory results reveal: Hct 52, K+ 5.0, BUN 35, creatinine 1.1. Vital signs are: BP 102/60 mm Hg, P 124, R 20, T 38.7°C, and O2 Sat 96%. A possible explanation of these findings would be:
. Volume overload following rehydration.
. Dehydration from an elevated temperature.
. Development of renal failure.
. Worsening hypoxemia.
Test-Taking Tip
Only one vital sign is of concern: T 38.7°C = fever → dehydration.
Content Area: Adult Health, Hematological; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Laboratory Values
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Answer 1 is incorrect because the laboratory findings and vital signs are not consistent with volume overload. Answer 2 is correct because the findings indicate hemoconcentration from dehydration. Answer 3 is incorrect because the creatinine value is within normal limits, and is the more specific indicator of renal function. Answer 4 is incorrect because the O2 saturation is within normal limits.