A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?

Oliguria

Urgency

Dysuria

Nocturia

Answer and Explanation

The Correct Answer is A

A. Oliguria: Oliguria refers to a urine output less than 400 mL in 24 hours, indicating reduced kidney function or fluid imbalance.

B. Urgency: Urgency is the sudden need to urinate and does not describe low urine output.

C. Dysuria: Dysuria refers to painful or difficult urination.

D. Nocturia: Nocturia is frequent urination at night and does not relate to the overall daily urine output.

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Correct Answer is A

Explanation

A. Heart murmur: A murmur is caused by turbulent blood flow through the narrowed mitral valve, commonly a hallmark of mitral valve stenosis.

B. Barrel chest: Barrel chest is associated with chronic obstructive pulmonary disease (COPD), not mitral valve stenosis.

C. Clubbing of the fingers: Clubbing occurs in chronic hypoxia, often linked to pulmonary diseases, not directly related to mitral valve stenosis.

D. Bradycardia: Tachycardia, rather than bradycardia, is more likely due to the heart's attempt to compensate for reduced cardiac output.

A. Ignoring the urge to defecate B. Increased activity C. Excessive laxative use D. Increased fiber in the diet E. Inadequate fluid intake

Correct Answer is ["A","C","E"]

Explanation

A. Ignoring the urge to defecate: Ignoring the urge allows stool to remain in the colon longer, leading to harder stools and constipation.

B. Increased activity: Increased activity promotes bowel motility and helps prevent constipation.

C. Excessive laxative use: Chronic use can lead to dependence and reduced natural bowel motility, contributing to constipation.

D. Increased fiber in the diet: Increased fiber typically alleviates constipation unless fluid intake is inadequate.

E. Inadequate fluid intake: Insufficient fluids lead to harder stools and decreased bowel motility, causing constipation.

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A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?

Nursing Test Bank

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