Which is the term for a urine output less than 400 mL per day?
Anuria.
Oliguria.
Polyuria.
Dysuria.
The Correct Answer is B
Oliguria is the term for a urine output less than 400 mL per day. This can indicate dehydration, kidney failure, urinary obstruction, or other conditions that affect urine production.
Choice A is wrong because anuria is the term for a urine output less than 100 mL per day.
This is a more severe form of oliguria and can indicate complete kidney failure or urinary obstruction.
Choice C is wrong because polyuria is the term for a urine output more than 3000 mL per day.
This can indicate diabetes mellitus, diabetes insipidus, diuretic use, or excessive fluid intake.
Choice D is wrong because dysuria is the term for painful or difficult urination.
This can indicate urinary tract infection, kidney stones, bladder inflammation, or other conditions that affect the urinary tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Oral potassium supplements can cause stomach irritation or laxative effect if taken without enough fluid or food.
Taking the medication with food or a full glass of water can help prevent these side effects and improve absorption.
Choice B is wrong because taking the medication on an empty stomach with a sip of water can increase the risk of stomach irritation or laxative effect and reduce absorption.
Choice C is wrong because taking the medication with milk or antacids can interfere with the absorption of potassium and cause hyperkalemia (high blood potassium levels).
Choice D is wrong because taking the medication with grapefruit juice can also interfere with the absorption of potassium and cause hyperkalemia.
Grapefruit juice can also interact with some medications that affect potassium levels, such as angiotensin-converting enzyme (ACE) inhibitors and potassium- sparing diuretics.
Correct Answer is D
Explanation
Monitoring the client’s electrolyte levels before and after the treatment. This is because acute kidney injury (AKI) can cause electrolyte imbalances such as hyperkalemia, hyperphosphatemia, hypocalcemia, and metabolic acidosis. Hemodialysis can help correct these imbalances by removing excess fluid and waste products from the blood. However, hemodialysis can also cause electrolyte shifts and complications such as hypotension, muscle cramps, and arrhythmias. Therefore, it is important to monitor the client’s electrolyte levels before and after the treatment to assess the effectiveness and safety of hemodialysis.
Choice A is wrong because monitoring the client’s blood pressure every 4 hours is not frequent enough during hemodialysis.
Hemodialysis can cause rapid changes in blood pressure due to fluid removal and vascular access.
Therefore, blood pressure should be monitored more often, such as every 15 to 30 minutes during hemodialysis.
Choice B is wrong because administering a loop diuretic before the treatment is not indicated for AKI patients receiving hemodialysis.
Loop diuretics are used to increase urine output and reduce fluid overload in AKI patients who have some residual kidney function.
However, hemodialysis can achieve the same goal by removing excess fluid from the blood.
Moreover, loop diuretics can cause electrolyte depletion and ototoxicity, which can worsen the condition of AKI patients.
Choice C is wrong because assessing the client’s respiratory status every 2 hours is not specific enough for hemodialysis treatment.
Hemodialysis can affect respiratory mechanics by altering fluid balance, acid- base status, and oxygen delivery.
Therefore, respiratory status should be assessed more frequently and comprehensively during hemodialysis, such as by measuring respiratory rate, oxygen saturation, arterial blood gas, and chest auscultation.
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