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: Hypolipidemia, or low levels of lipids in the blood, is not typically associated with acute pancreatitis. Hyperlipidemia (high levels of lipids) is a more relevant factor.
Choice B reason: Diabetes mellitus is a chronic condition that can develop as a result of chronic pancreatitis, but it is not a direct risk factor for acute pancreatitis.
Choice C reason: Gallstones are a common cause of acute pancreatitis. They can block the pancreatic duct, leading to inflammation and pain.
Choice D reason: COPD, a chronic lung disease, is not associated with acute pancreatitis and does not increase the risk for this condition.
Correct Answer is D
Explanation
Choice A reason: Monitoring bowel sounds is important for assessing gastrointestinal function, but it does not directly measure the effectiveness of lactulose in treating hepatic encephalopathy.
Choice B reason: Temperature monitoring is essential for detecting infection, but it does not indicate the effectiveness of lactulose in reducing ammonia levels.
Choice C reason: Abdominal pain should be monitored as a potential side effect of lactulose, but it is not an indicator of its effectiveness in treating hepatic encephalopathy.
Choice D reason: Stool frequency is the correct measure for monitoring the effectiveness of lactulose. Lactulose works by promoting the excretion of ammonia in the stool, thereby reducing serum ammonia levels and improving the symptoms of hepatic encephalopathy. Increased stool frequency indicates the medication is working.
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