Which fluid output measurement is the most concerning for a nurse?

60 mL of urine in a 2-hour period

720 mL of urine in a 24-hour period

600 mL of urine in a 10-hour period

100 mL of urine in a 5-hour period

Answer and Explanation

The Correct Answer is D

Choice A reason: 60 mL of urine in a 2-hour period is not very concerning for a nurse, as it is within the normal range of urine output. The average urine output for an adult is about 1 to 2 L per day, or 40 to 80 mL per hour¹.

Choice B reason: 720 mL of urine in a 24-hour period is slightly below the normal range, but not alarming. It may indicate mild dehydration or reduced fluid intake, but it is not a sign of fluid volume excess or kidney failure¹.

Choice C reason: 600 mL of urine in a 10-hour period is also within the normal range of urine output, and does not indicate any problem with fluid balance or renal function¹.

Choice D reason: 100 mL of urine in a 5-hour period is the most concerning for a nurse, as it indicates oliguria, or abnormally low urine output. Oliguria is defined as urine output less than 400 mL per day, or less than 20 mL per hour². It may be caused by acute or chronic kidney injury, urinary obstruction, shock, dehydration, or fluid volume excess². Oliguria can lead to fluid overload, electrolyte imbalance, acidosis, and uremia, and requires immediate medical attention².

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Correct Answer is B

Explanation

Choice A reason: This is incorrect because filtration is a passive transport mechanism that does not require cellular energy. Filtration is the movement of fluid and solutes across a membrane due to hydrostatic pressure.

Choice B reason: This is correct because active transport is a transport mechanism that requires cellular energy in the form of ATP. Active transport is the movement of molecules across a membrane against their concentration gradient, using carrier proteins.

Choice C reason: This is incorrect because diffusion is a passive transport mechanism that does not require cellular energy. Diffusion is the movement of molecules from an area of higher concentration to an area of lower concentration, until equilibrium is reached.

Choice D reason: This is incorrect because osmosis is a passive transport mechanism that does not require cellular energy. Osmosis is the movement of water across a semipermeable membrane from an area of lower solute concentration to an area of higher solute concentration.

A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic alkalosis D. Metabolic acidosis

Correct Answer is A

Explanation

Choice A reason: This is correct because respiratory acidosis is a condition where the blood pH is lower than the normal range of 7.35 to 7.45, due to impaired gas exchange or hypoventilation, which causes carbon dioxide to accumulate in the blood. COPD is a chronic lung disease that obstructs the airways and reduces the oxygen intake and carbon dioxide output. This leads to respiratory acidosis in the patient.

Choice B reason: This is incorrect because respiratory alkalosis is a condition where the blood pH is higher than the normal range of 7.35 to 7.45, due to hyperventilation, which lowers the carbon dioxide in the blood. COPD does not cause hyperventilation, but rather hypoventilation.

Choice C reason: This is incorrect because metabolic alkalosis is a condition where the blood pH is higher than the normal range of 7.35 to 7.45, due to a loss of acids or an excess of bases in the body. COPD does not affect the metabolic system directly, but rather the respiratory system.

Choice D reason: This is incorrect because metabolic acidosis is a condition where the blood pH is lower than the normal range of 7.35 to 7.45, due to an excess of acids or a loss of bases in the body. COPD does not affect the metabolic system directly, but rather the respiratory system.

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Which fluid output measurement is the most concerning for a nurse?

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Naxlex Comprehensive Predictor Exams

Which transport mechanism involves cellular energy?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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