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 B

Explanation

A. "Your inspiration should be longer than expiration during purse-lipped breathing.": Expiration should be longer than inspiration to allow full exhalation of trapped air.

B. "You should inhale through your nose and exhale through your mouth during purse-lipped breathing.": Pursed-lip breathing involves inhaling through the nose and exhaling slowly through pursed lips to promote better oxygen exchange and prevent air trapping.

C. "You should cough forcefully during exhalation when you are purse-lipped breathing.": Pursed-lip breathing focuses on slow, controlled exhalation, not forceful coughing.

D. "You should be flat on your back when you perform purse-lipped breathing.": An upright position enhances lung expansion and makes breathing more effective.

A. Immediately before meals B. Every 2 hr while the patient is awake C. When the client has the urge to defecate D. After the client feels abdominal cramping

Correct Answer is C

Explanation

A. Immediately before meals: Although the gastrocolic reflex is stimulated after eating, taking the client immediately before meals does not align with the natural defecation reflex.

B. Every 2 hr while the patient is awake: This does not consider the client’s natural bowel patterns and may lead to frustration or noncompliance.

C. When the client has the urge to defecate: Bowel training is most effective when timed to coincide with the client's natural urge to defecate, promoting a routine and reducing the risk of constipation or incontinence.

D. After the client feels abdominal cramping: Cramping could indicate discomfort from gas or constipation, not necessarily the optimal time for defecation.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is C

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