A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Urine output of 175 ml in the past 8 hrs

Urine output of 2,200 ml in the past 24 hr

Urine is cloudy after sitting in the urinal for 6 hr

First-voided urine in the morning has a strong odor

Answer and Explanation

The Correct Answer is A

A.   A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B.   This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C.   Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D.   While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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Correct Answer is A

Explanation

A. Salicylate intoxication can lead to metabolic acidosis due to the accumulation of salicylic acid, which increases metabolic rate and production of organic acids.
B. Thiazide diuretics can lead to metabolic alkalosis due to the loss of hydrogen and chloride ions.
C. Vomiting can lead to metabolic alkalosis due to the loss of gastric acid.
D. Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate-rich fluids.

A. Constipation B. Frequent mood changes C. Weight gain of 4.5 kg (10 lb) in 3 weeks D. Sensitivity to cold

Correct Answer is B

Explanation

A. Constipation is more commonly associated with hypothyroidism, not hyperthyroidism.
B. Hyperthyroidism can lead to emotional lability, anxiety, and irritability due to increased metabolic rate.
C. Weight loss is a common manifestation of hyperthyroidism, not weight gain.
D. Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.

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A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

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