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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "The microwave in my kitchen can warm the solution before I use it." Heating dialysis fluid in a microwave is dangerous as it can cause uneven heating and burns inside the peritoneal cavity. Dialysis solutions should be warmed using a heating pad or a specialized warmer.
B. "The fluid from my abdomen will be clear or slightly yellow." Normal peritoneal dialysis effluent should be clear. Cloudy effluent indicates infection (peritonitis).
C. "The catheter can become infected even with sterile precautions." Peritoneal dialysis catheters have a high risk of infection, even with proper care.
D. "The volume of the output solution should be greater than the input solution." More fluid should come out than goes in, as excess fluid and toxins are being removed.
Correct Answer is A
Explanation
A. Confusion: Respiratory acidosis (low pH + high PaCO2) leads to decreased oxygenation of brain tissues, causing confusion, drowsiness, and lethargy.
B. Kussmaul's Respirations: Seen in metabolic acidosis, not respiratory acidosis.
C. Seizures: Seizures are more common with alkalosis (high pH) due to neuronal excitability.
D. Paresthesia in the Extremities: More common in respiratory alkalosis due to calcium shifts.
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