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 B
Explanation
A. "We'll find out if any medications, such as steroids, are interfering with your kidney function." Some medications affect kidney function, but creatinine primarily measures kidney efficiency, not drug interactions.
B. "This test will tell your doctor how your kidneys are functioning." Serum creatinine is a key indicator of kidney function. It measures how well the kidneys are filtering waste products.
C. "This test will tell if you have severe renal impairment or disease." Creatinine can be elevated in mild, moderate, or severe kidney dysfunction, not just in severe disease.
D. "You'll have to ask your doctor." The nurse should provide basic health education to the client.
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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