What laboratory finding should the nurse expect in a child with an excess of water?

a. Decreased hematocrit
b. High serum osmolality
c. High urine specific gravity
d. Increased blood urea nitrogen


ANS: A
The excess water in the circulatory system results in hemodilution. The laboratory results show a falsely decreased hematocrit. Laboratory analysis of blood that is hemodiluted reveals decreased serum osmolality and blood urea nitrogen. The urine specific gravity is variable relative to the child's ability to correct the fluid imbalance.

Nursing

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