Which nursing diagnosis is priority for a client who has had vomiting and diarrhea for the past three days?

Fatigue related to excessive fluid loss.

Deficient fluid volume related to dehydration.

Risk for impaired skin integrity related to irritation.

Imbalanced nutrition: less than body requirements related to vomiting.

Answer and Explanation

The Correct Answer is B

This is the priority nursing diagnosis for a client who has had vomiting and diarrhea for the past three days because it poses the greatest threat to the client’s health and well-

being. Fluid loss can lead to hypovolemia, hypotension, shock, electrolyte imbalance, and renal failure.

Choice A is wrong because fatigue is a subjective symptom that may or may not be related to fluid loss.

It is not a priority over fluid volume deficit.

Choice C is wrong because impaired skin integrity is a potential problem that may occur due to irritation from vomiting and diarrhea, but it is not a priority over fluid volume deficit.

Choice D is wrong because imbalanced nutrition is a potential problem that may occur due to vomiting, but it is not a priority over fluid volume deficit.

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Correct Answer is D

Explanation

30 to 40 mL/hour. This is the normal range of urine output for a typical adult client. The urine output should be at least 0.5 mL/kg/hour for adults.

Assuming an average weight of 70 kg, this would be 35 mL/hour.

Choice A is wrong because 5 to 10 mL/hour is too low and indicates oliguria, which is a sign of inadequate kidney function or dehydration.

Choice B is wrong because 12 to 15 mL/hour is also below the normal range and may indicate oliguria.

Choice C is wrong because 16 to 25 mL/hour is slightly below the normal range and may indicate reduced kidney perfusion or fluid intake.

A. “The risk of getting schizophrenia is low, and most people with a close relative with the condition will not develop it themselves.”. B. “Schizophrenia is caused by genetic factors and your children will develop the disease ten times more often than the general public.”. C. “There is a 50% chance that your child will be born with schizophrenia, so keep them out of crowded places and high anxiety situations.”. D. “Females with schizophrenia are infertile and unable to carry a full-term pregnancy, but most of the people who are affected are male.”.

Correct Answer is A

Explanation

Schizophrenia is a disorder that has genetic risk factors, but is not caused by a single gene. The risk of developing schizophrenia is higher if you have a close relative with the disorder, but it is not certain. The risk varies depending on the degree of relatedness and the number of genes involved. The heritability of schizophrenia, which measures how much of the risk is due to genetic factors, is estimated to be between 60% to 80%.

Choice B is wrong because it exaggerates the risk of schizophrenia for children of affected parents. The risk is about 10%, not 10 times more than the general public.

Choice C is wrong because it gives a false and misleading statistic.

There is no 50% chance that a child will be born with schizophrenia, and there is no evidence that crowded places and high anxiety situations can cause the disorder.

Choice D is wrong because it is based on false and outdated stereotypes. Females with schizophrenia are not infertile and can carry a full-term pregnancy, but most of the people who are affected are male.

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Which nursing diagnosis is priority for a client who has had vomiting and diarrhea for the past three days?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which amount of urine production should the nurse evaluate as adequate output for a typical adult client?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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