The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?
uOP of 350 ml/day
uOP of 450 ml/day
uOP of 550 ml/day
uOP of 650 ml/day
The Correct Answer is A
Choice A reason: Oliguria is defined as a significantly reduced urine output, typically less than 400-500 ml per day in adults. A urinary output of 350 ml/day falls well below this threshold, indicating a condition of oliguria. This reduced output can be a sign of underlying issues such as dehydration, renal failure, or urinary tract obstructions. It is essential for healthcare providers to identify and address the cause of oliguria to prevent further complications.
Choice B reason: A urinary output of 450 ml/day is also indicative of oliguria but is closer to the higher end of the threshold for this condition. However, the specified definition usually considers less than 400 ml/day as oliguria, making 350 ml/day a more definitive example. While 450 ml/day is still reduced and warrants attention, it is slightly above the typical clinical cutoff for oliguria.
Choice C reason: A urinary output of 550 ml/day is above the typical threshold for oliguria. It indicates reduced urine output but does not meet the clinical definition of oliguria. Such output may still require monitoring, but it does not classify as oliguria, which is generally defined as less than 400-500 ml per day.
Choice D reason: A urinary output of 650 ml/day is well above the threshold for oliguria. This output is closer to normal daily urine output, which typically ranges from 800 to 2000 ml/day, depending on fluid intake and other factors. Therefore, it does not indicate oliguria and would be considered within normal limits or slightly reduced, depending on the clinical context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Neutrophils at 3,000/mm might indicate an infection, but for acute appendicitis, one would expect to see a significant increase in the overall white blood cell count rather than just the neutrophils.
Choice B reason: Lymphocytes at 3,000/mm do not specifically indicate acute appendicitis. Lymphocyte counts are more commonly elevated in viral infections rather than bacterial ones like appendicitis.
Choice C reason: A WBC count of 17,000/mm is indicative of an acute bacterial infection like appendicitis. The elevated WBC count shows the body’s response to the infection, making this the most accurate indicator among the options provided.
Choice D reason: RBC at 4.2 million/mm is within the normal range and does not provide specific information related to acute appendicitis. This value is unrelated to the acute inflammatory process expected in appendicitis.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: Informed consent must be obtained by the physician before the procedure to ensure the patient understands the risks, benefits, and alternatives.
Choice B reason: Obtaining coagulation studies is essential to assess the patient's bleeding risk before a biopsy, which involves puncturing tissue and can cause bleeding.
Choice C reason: Administering diphenhydramine (Benadryl) is not typically required for a kidney biopsy. Pre-medications may be prescribed based on individual patient needs, but it is not a standard practice.
Choice D reason: A urine specimen is necessary to check for existing infections or abnormalities before the biopsy is performed.
Choice E reason: Maintaining NPO (nothing by mouth) status prior to the procedure helps reduce the risk of aspiration during sedation or anesthesia.
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