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A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?

Nocturia

Enuresis

Anuria

Oliguria

Answer and Explanation

The Correct Answer is D

A. Nocturia: Excessive nighttime urination, not decreased urine output.

B. Enuresis: Involuntary urination, commonly bedwetting in children.

C. Anuria: Severe lack of urine output (< 100 mL/24 hrs), which is worse than oliguria.

D. Oliguria: Oliguria is defined as urine output < 400 mL/24 hours. 250 mL in 24 hours qualifies as oliguria.

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Correct Answer is B

Explanation

A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.

B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.

C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.

D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.

A. Respiratory Alkalosis B. Metabolic Acidosis C. Metabolic Alkalosis D. Respiratory Acidosis

Correct Answer is D

Explanation

A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.

B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.

C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.

D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.

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A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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