The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?

uOP of 350 ml/day

uOP of 450 ml/day

uOP of 550 ml/day

uOP of 650 ml/day

Answer and Explanation

The Correct Answer is A

Choice A reason: Oliguria is defined as a significantly reduced urine output, typically less than 400-500 ml per day in adults. A urinary output of 350 ml/day falls well below this threshold, indicating a condition of oliguria. This reduced output can be a sign of underlying issues such as dehydration, renal failure, or urinary tract obstructions. It is essential for healthcare providers to identify and address the cause of oliguria to prevent further complications.
Choice B reason: A urinary output of 450 ml/day is also indicative of oliguria but is closer to the higher end of the threshold for this condition. However, the specified definition usually considers less than 400 ml/day as oliguria, making 350 ml/day a more definitive example. While 450 ml/day is still reduced and warrants attention, it is slightly above the typical clinical cutoff for oliguria.
Choice C reason: A urinary output of 550 ml/day is above the typical threshold for oliguria. It indicates reduced urine output but does not meet the clinical definition of oliguria. Such output may still require monitoring, but it does not classify as oliguria, which is generally defined as less than 400-500 ml per day.
Choice D reason: A urinary output of 650 ml/day is well above the threshold for oliguria. This output is closer to normal daily urine output, which typically ranges from 800 to 2000 ml/day, depending on fluid intake and other factors. Therefore, it does not indicate oliguria and would be considered within normal limits or slightly reduced, depending on the clinical context.

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Correct Answer is D

Explanation

Choice A reason: While auscultating the client's lungs is important for overall assessment, it is not the immediate priority following pain management in acute pancreatitis.
Choice B reason: Providing oral hygiene is important for comfort and preventing infections but is not the immediate priority.
Choice C reason: Assisting the client to a side-lying position can help with comfort and prevent aspiration, but it is not the most critical intervention following pain management.
Choice D reason: Withholding oral fluids and food is the priority intervention to reduce pancreatic stimulation and enzyme secretion, which can exacerbate the inflammation and pain in acute pancreatitis. This intervention helps rest the pancreas and promote healing.

A. Informed consent obtained by MD B. Obtain coagulation studies C. Administer diphenhydramine (Benadryl) prior to the procedure. D. Obtain a urine specimen prior to the procedure E. Maintain NPO status prior to the procedure.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason: Informed consent must be obtained by the physician before the procedure to ensure the patient understands the risks, benefits, and alternatives.
Choice B reason: Obtaining coagulation studies is essential to assess the patient's bleeding risk before a biopsy, which involves puncturing tissue and can cause bleeding.
Choice C reason: Administering diphenhydramine (Benadryl) is not typically required for a kidney biopsy. Pre-medications may be prescribed based on individual patient needs, but it is not a standard practice.
Choice D reason: A urine specimen is necessary to check for existing infections or abnormalities before the biopsy is performed.
Choice E reason: Maintaining NPO (nothing by mouth) status prior to the procedure helps reduce the risk of aspiration during sedation or anesthesia.

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The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?

Correct Answer is D

Explanation

A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

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