A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?

Oliguria

Urgency

Dysuria

Nocturia

Answer and Explanation

The Correct Answer is A

A. Oliguria: Oliguria refers to a urine output less than 400 mL in 24 hours, indicating reduced kidney function or fluid imbalance.

B. Urgency: Urgency is the sudden need to urinate and does not describe low urine output.

C. Dysuria: Dysuria refers to painful or difficult urination.

D. Nocturia: Nocturia is frequent urination at night and does not relate to the overall daily urine output.

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Correct Answer is D

Explanation

A. "We will rotate the probe of the pulse oximeter every 24 hours.": Rotating the probe prevents skin breakdown from prolonged pressure.

B. "The probe of the pulse oximeter can be applied to a finger or a toe.": This is an appropriate placement for infants to ensure accurate readings.

C. "The pulse oximeter might not be accurate during times of excessive movement.": Movement artifacts can lead to inaccurate readings.

D. "We will notify the doctor if the pulse oximeter consistently reads 100%.": A consistent reading of 100% is likely inaccurate, as it suggests potential equipment malfunction or improper placement. Oxygen saturation of 100% is rare, especially in clients requiring supplemental oxygen.

A. Dehydration B. Rigid abdomen C. Hypothermia D. Decreased bowel sounds

Correct Answer is A

Explanation

A. Dehydration: Prolonged diarrhea results in fluid and electrolyte loss, leading to dehydration.

B. Rigid abdomen: A rigid abdomen suggests peritonitis, not a direct result of diarrhea.

C. Hypothermia: Fever, not hypothermia, is more commonly associated with diarrhea caused by infections.

D. Decreased bowel sounds: Diarrhea is typically associated with increased bowel sounds due to hypermotility.

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A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?

Nursing Test Bank

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