A patient recovering from surgery has an indwelling urinary catheter. For which 24-hour urine output volumes should the nurse notify the patient's healthcare provider?

1000 milliliters.

600 milliliters.

1200 milliliters.

750 milliliters.

Answer and Explanation

The Correct Answer is B

The correct answer is B. 600 milliliters.

Choice A rationale:

A 24-hour urine output of 1000 milliliters is within the normal range for an adult, indicating adequate kidney function and hydration.

Choice B rationale:

A 24-hour urine output of 600 milliliters is below the normal range (typically 800-2000 milliliters), which may indicate oliguria (reduced urine output) and could be a sign of renal impairment or dehydration. This warrants notifying the healthcare provider.

Choice C rationale:

A 24-hour urine output of 1200 milliliters is also within the normal range, suggesting normal kidney function and hydration status.

Choice D rationale:

A 24-hour urine output of 750 milliliters is slightly below the normal range but may not be immediately concerning unless accompanied by other symptoms. However, it is still important to monitor and possibly notify the healthcare provider if it persists.

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Correct Answer is B

Explanation

Choice A rationale:

Narcotics are not known to directly cause hypokalemia. Their main effects are related to pain relief and central nervous system depression.

Choice B rationale:

Thiazide diuretics can cause potassium loss in the urine, leading to hypokalemia. These diuretics work by inhibiting sodium reabsorption in the distal convoluted tubule, which can lead to potassium excretion as well.

Choice C rationale:

Corticosteroids can cause sodium and water retention but are not typically associated with significant potassium abnormalities.

Choice D rationale:

Muscle relaxers are not known to cause hypokalemia. They primarily act on the neuromuscular junction and do not directly impact potassium levels.

A. Client has an NG tube to gastric suction. B. Client has a history of alcohol abuse disorder. C. Client reports drinking 3.5 to 4 L of water each day. D. Client is currently prescribed spironolactone.

Correct Answer is A

Explanation

The correct answer is choice A. Client has an NG tube to gastric suction.

Choice A rationale:

Having an NG tube to gastric suction can lead to hypokalemia because the suctioning process removes potassium from the stomach contents, leading to a decrease in serum potassium levels.

Choice B rationale:

While a history of alcohol abuse disorder can lead to various electrolyte imbalances, it is not the most direct cause of hypokalemia compared to gastric suction.

Choice C rationale:

Drinking 3.5 to 4 liters of water each day can lead to dilutional hyponatremia but is less likely to cause hypokalemia directly.

Choice D rationale:

Spironolactone is a potassium-sparing diuretic, which means it helps retain potassium in the body. Therefore, it is not a causative factor for hypokalemia.

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A patient recovering from surgery has an indwelling urinary catheter. For which 24-hour urine output volumes should the nurse notify the patient's healthcare provider?

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Naxlex Comprehensive Predictor Exams

A patient is diagnosed with hypokalemia. After reviewing the patient's current medications, which drug should the nurse consider that might have contributed to the patient's health problem?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?

Correct Answer is A

Explanation

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