A nurse reviews the urinalysis results of a client and notes a ...

[TFauchery]

A nurse reviews the urinalysis results of a client and notes a urine osmolality of 1200 mOsm/L. Which action should the nurse take?
 
  a. Contact the provider and recommend a low-sodium diet.
  b. Prepare to administer an intravenous diuretic.
  c. Obtain a suction device and implement seizure precautions.
  d. Encourage the client to drink more fluids.

Question 2

A nurse collaborates with the interdisciplinary team to develop a plan of care for a client who is newly diagnosed with diabetes mellitus. Which team members should the nurse include in this interdisciplinary team meeting? (Select all that apply.)
 
  a. Registered dietitian
  b. Clinical pharmacist
  c. Occupational therapist
  d. Health care provider
  e. Speech-language pathologist

[jgranad15]

Answer to Question 1

ANS: D
Normal urine osmolality ranges from 300 to 900 mOsm/L. This client's urine is more concentrated, indicating dehydration. The nurse should encourage the client to drink more water. Dehydration can be associated with elevated serum sodium levels. Although a low-sodium diet may be appropriate for this client, this diet change will not have a significant impact on urine osmolality. A diuretic would increase urine output and decrease urine osmolality further. Low serum sodium levels, not elevated serum levels, place the client at risk for seizure activity. These options would further contribute to the client's dehydration or elevate the osmolality.

Answer to Question 2

ANS: A, B, D
When planning care for a client newly diagnosed with diabetes mellitus, the nurse should collaborate with a registered dietitian, clinical pharmacist, and health care provider. The focus of treatment for a newly diagnosed client would be nutrition, medication therapy, and education. The nurse could also consult with a diabetic educator. There is no need for occupational therapy or speech therapy at this time.

[TFauchery]

Thank you

[jgranad15]

Happy to help you