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A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?

Nocturia

Enuresis

Anuria

Oliguria

Answer and Explanation

The Correct Answer is D

A. Nocturia: Excessive nighttime urination, not decreased urine output.

B. Enuresis: Involuntary urination, commonly bedwetting in children.

C. Anuria: Severe lack of urine output (< 100 mL/24 hrs), which is worse than oliguria.

D. Oliguria: Oliguria is defined as urine output < 400 mL/24 hours. 250 mL in 24 hours qualifies as oliguria.

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Correct Answer is B

Explanation

A. Respiratory Alkalosis: Would have low PaCO2 (<35 mmHg), not high.

B. Partially Compensated Metabolic Alkalosis: The pH is high (alkalosis), and the HCO3 is elevated, which indicates metabolic alkalosis. The PaCO2 is high, meaning the lungs are attempting to compensate by retaining CO₂ to lower the pH. Because the pH is still abnormal, this is partial compensation.

C. Metabolic Acidosis: Would have low pH and low HCO3 (<22 mEq/L).

D. Fully Compensated Respiratory Acidosis: The primary problem is metabolic, not respiratory.

A. Discard the client's last void at the end of the collection time period. B. Refrigerate the urine during the collection time period. C. Save the first void at the start of the collection time period. D. Include toilet paper with the collected urine

Correct Answer is B

Explanation

A. Discard the client's last void at the end of the collection time period. The last void must be included for complete data.

B. Refrigerate the urine during the collection time period: Refrigerating the urine prevents bacterial growth and chemical breakdown, ensuring accurate lab results. Some tests may require urine to be kept on ice instead.

C. Save the first void at the start of the collection time period. The first void is discarded because it may contain residual metabolites from the previous period.

D. Include toilet paper with the collected urine. Toilet paper can contaminate the sample and alter test results.

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A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?

Nursing Test Bank

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