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. Upright: An upright position promotes optimal lung expansion by allowing the diaphragm to move downward effectively during inspiration.

B. Side-lying: This position may limit lung expansion on the dependent side.

C. Supine: The supine position can restrict lung expansion and promote pooling of secretions.

D. Prone: Although beneficial for severe ARDS, prone positioning is not typically recommended for general respiratory failure.

A. Encourage the client to cough and deep breathe. B. Raise the head of the bed. C. Initiate humidification therapy. D. Increase the client's oral fluid intake.

Correct Answer is B

Explanation

A. Encourage the client to cough and deep breathe: Although beneficial, this should be done after positioning the client to facilitate breathing.

B. Raise the head of the bed: Raising the head of the bed improves lung expansion and ventilation, which should be done first to address hypoxia.

C. Initiate humidification therapy: While humidification helps prevent drying of airways, it is not the first action to address hypoxia.

D. Increase the client’s oral fluid intake: While helpful for thinning secretions, this is not the priority when oxygen saturation is critically low.

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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?

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Naxlex Comprehensive Predictor Exams

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