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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Peripheral edema: While peripheral edema can occur in late stages of COPD due to cor pulmonale, it is not a direct or early sign.
B. Barrel chest: A barrel chest is a classic finding in clients with COPD due to air trapping and hyperinflation of the lungs.
C. Spoon nails: Spoon nails (koilonychia) are associated with iron deficiency anemia, not COPD.
D. Pleural friction rub: Pleural friction rub is associated with pleuritis, not COPD.
Correct Answer is D
Explanation
A. Reflex incontinence: Reflex incontinence occurs due to involuntary bladder contractions, not retention, and doesn't necessarily indicate the need for catheterization.
B. Nocturnal enuresis: Nighttime incontinence is a symptom but does not indicate immediate need for catheterization unless associated with retention or discomfort.
C. Urge incontinence: This indicates overactivity of the bladder rather than retention; catheterization isn't typically necessary unless retention follows the urge.
D. Suprapubic discomfort: Suprapubic discomfort suggests bladder distention, indicating the need for catheterization to relieve retention and prevent complications like urinary tract infections.
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