Which urine specific gravity finding indicates effective fluid replacement for a client with gastric drainage?

A urine specific gravity of 1.020 indicates effective fluid replacement for a client with gastric drainage. This value falls within the normal range, which typically lies between 1.005 and 1.030. When a patient has gastric drainage, especially due to factors such as vomiting or excessive nasogastric suctioning, they are at risk for fluid loss and dehydration. Effective fluid replacement aims to restore adequate hydration, which also stabilizes urine concentration.

A specific gravity of 1.020 shows that the kidneys are adequately concentrating the urine and the patient is likely hydrated. This suggests successful fluid replacement, as the kidneys are functioning properly and the body is balanced in terms of fluid intake and output.

Values outside of 1.020 may indicate different hydration statuses. For example, a specific gravity of 1.005 suggests very dilute urine and potential overhydration, while 1.035 and 1.045 represent concentrated urine, which could indicate dehydration or inadequate fluid intake, signaling that fluid replacement may be inadequate or necessary. Therefore, the finding of 1.020 reflects effective fluid management in this clinical scenario.