Which urine specific gravity, and corresponding pH, should the nurse include in a goal statement for a pediatric client receiving chemotherapy in the treatment of cancer?
1. Specific gravity 1.030 and pH 7.5
2. Specific gravity 1.005 and pH 6
3. Specific gravity 1.030 and pH 6
4. Specific gravity 1.005 and pH 7.5
4
Explanation:
1. A specific gravity higher than 1.010 can mean fluid intake is not high enough.
2. A pH of less than 7 means acidosis.
3. A specific gravity higher than 1.010 can mean fluid intake is not high enough, and a pH of less than 7 means acidosis.
4. Because the breakdown of malignant cells releases intracellular components into the blood and electrolyte imbalance causes metabolic acidosis, the patient should remain well hydrated, with the urine specific gravity at less than 1.010 and the pH at 7.0 to 7.5.
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