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You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

Answer and Explanation

The Correct Answer is ["82.5"]

The general rule of thumb for urine output is 0.5 mL/kg/hour.

Step 1: Convert the patient's weight from pounds to kilograms.

We know that 1 kg = 2.2 lbs.

So, we have:

363 lbs ÷ 2.2 = 165 kg (rounded to the nearest whole number)

Step 2: Calculate the urine output using the rule of 0.5 mL/kg/hour. So, we have:

165 kg × 0.5 mL/kg/hour = 82.5 mL/hour

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Correct Answer is B

Explanation

Choice A reason: Showing the patient that her leg is gone does not address the immediate concern of pain management.

Choice B reason: Administering the prescribed pain medication is the first step in managing phantom pain, which is a common experience for amputees.

Choice C reason: While it is important to validate the patient's experience of pain, the first action should be to address the pain medically.

Choice D reason: Telling the patient that it is not possible to feel pain in her toes is incorrect and dismissive of the phenomenon of phantom pain.

A. The urine dipstick is negative for nitrites. B. The patient denies pain or burning with voiding. C. The periorbital and peripheral edema are resolved. D. The anti-streptolysin-O (ASO) titer has decreased.

Correct Answer is C

Explanation

Choice A reason: A negative urine dipstick for nitrites is more indicative of a lack of bacterial infection and is not directly related to glomerulonephritis.

Choice B reason: While the absence of pain or burning with voiding is positive, it does not specifically indicate the resolution of glomerulonephritis.

Choice C reason: The resolution of periorbital and peripheral edema is a sign that the treatment for glomerulonephritis has been eﬀective, as edema is a common symptom of this condition.

Choice D reason: A decrease in the anti-streptolysin-O (ASO) titer may indicate a response to treatment for a streptococcal infection, but it is not the most direct indicator of eﬀective treatment for glomerulonephritis.

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You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

Nursing Test Bank

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