A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Urine output of 175 ml in the past 8 hrs

Urine output of 2,200 ml in the past 24 hr

Urine is cloudy after sitting in the urinal for 6 hr

First-voided urine in the morning has a strong odor

Answer and Explanation

The Correct Answer is A

A.   A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B.   This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C.   Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D.   While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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Correct Answer is D

Explanation

A. Weight loss is not typically a manifestation of organ rejection post kidney transplant.

B. Insomnia is not typically associated with organ rejection post kidney transplant.

C. Normal body temperature does not indicate organ rejection post kidney transplant.

D. Oliguria or decreased urine output can be a sign of organ rejection post kidney transplant due to decreased renal perfusion.

A. pH 7.45 B. PaCO, 50 mm Hg C. Potassium 3.3 mEq/L D. HCO 30 mEq/L

Correct Answer is B

Explanation

A. In respiratory acidosis, the pH would be lower than normal due to an excess of carbon dioxide.
B. PaCO2 (partial pressure of carbon dioxide) would be elevated in respiratory acidosis because of inadequate ventilation leading to CO2 retention.
C. Potassium levels may vary depending on other factors but are not directly related to respiratory acidosis.
D. HCO3 (bicarbonate) levels may be normal or increased compensatorily in chronic respiratory acidosis, not necessarily decreased.

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A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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