In the diuretic phase of renal failure, which of the following happens?
Electrolytes improve.
Urine output (UO) does not change.
Urine output (UO) increases.
Oxygenation worsens.
The Correct Answer is C
Choice A rationale:
Electrolytes do not consistently improve during the diuretic phase of renal failure. While urine output increases, the kidneys' ability to regulate electrolytes may still be impaired. Electrolyte imbalances, such as hyperkalemia, hyponatremia, and hyperphosphatemia, can persist or even worsen during this phase.
Close monitoring of electrolytes is crucial to guide appropriate interventions, such as electrolyte replacement or restriction.
Choice B rationale:
Urine output (UO) does not remain unchanged during the diuretic phase. It is a defining characteristic of this phase that urine output increases, often significantly. This increase in urine output is a result of the recovering kidney tubules' ability to excrete fluid and waste products.
Choice C rationale:
Urine output (UO) increases in the diuretic phase of renal failure. This is a key feature that distinguishes this phase from the oliguric phase, which is characterized by decreased urine output. The increase in urine output is typically a sign of kidney function recovery. However, it is important to note that the increase in urine output does not necessarily mean that kidney function has fully recovered.
Choice D rationale:
Oxygenation does not typically worsen during the diuretic phase of renal failure. In fact, oxygenation may improve as fluid overload is resolved and pulmonary edema decreases. However, patients with underlying respiratory conditions or those who experience rapid fluid shifts may still require respiratory support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Misoprostol (Cytotec) is a medication used to induce labor.
It is placed in the posterior vaginal fornix.
However, it should not be used if the woman’s water has broken.
If the amniotic sac has ruptured, using Misoprostol can increase the risk of infection for both the mother and the baby.
Therefore, the statement “I can receive the Cytotec as long as my water hasn’t broken yet” indicates a need for further education.
Choice B rationale:
Walking can indeed help to speed up labor by using gravity to help the baby descend.
However, once Misoprostol has been administered, the woman is usually asked to lie on her side for about 30 to 40 minutes to allow the medication to be absorbed.
After that, if the healthcare provider agrees, she may be able to walk around.
Choice C rationale:
Monitoring the baby’s heart rate and the woman’s contraction pattern is a standard procedure during labor and delivery.
This allows the healthcare team to ensure the safety of both the mother and the baby.
It is especially important when medications like Misoprostol are used, as they can cause changes in the frequency and strength of contractions.
Choice D rationale:
Nausea and vomiting are potential side effects of Misoprostol.
However, not all women experience these side effects, and if they do occur, they are usually temporary.
The healthcare provider can offer solutions to manage these side effects if they become bothersome.
Correct Answer is C
Explanation
The correct answer is choice c. Negative.
Choice A rationale:
“Satisfactory” is not a standard term used to describe the results of a contraction stress test (CST). The terms typically used are “negative,” “positive,” “equivocal,” or “unsatisfactory.”
Choice B rationale:
“Unsatisfactory” is used when the test cannot be interpreted due to inadequate contractions or other technical issues. In this case, the client is experiencing contractions every three minutes, and the fetal heart rate (FHR) is being monitored effectively.
Choice C rationale:
A “Negative” CST indicates that there are no late decelerations of the FHR during contractions, suggesting that the fetus is not experiencing significant distress and is likely tolerating the contractions well.
Choice D rationale:
A “Positive” CST would indicate the presence of late decelerations of the FHR with at least 50% of contractions, suggesting fetal hypoxia and compromised placental function. Since there are no decelerations in this scenario, this choice is incorrect.
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