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The nurse determines the total intake for a client diagnosed with acute kidney injury. The client received 650 mL of intravenous fluid, 6 ounces of water, and 8 ounces of chicken broth during the shift.

The client's urinary output for the shift is 820 mL. What is the total intake the nurse will record for this client?

1060 mL

1055 mL

1050 mL

1070 mL

Answer and Explanation

The Correct Answer is D

Choice A rationale: This is not the accurate amount of fluid intake by the patient.

Choice B rationale: This is less than the total fluid intake by the patient.

Choice C rationale: This is less than the total fluid intake by the patient.

Choice D rationale: This is correct.( This is the sum of the intravenous fluid, the water, and the chicken broth, converted to milliliters: 650 + (6 x 30) + (8 x 30) = 1070.)

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Correct Answer is D

Explanation

Choice A rationale: These are symptoms of advance renal failure. Stomatitis and diarrhea are signs of uremia, which is the accumulation of waste products in the blood.

Choice B rationale: Dyspnea and anuria are signs of fluid overload and kidney shutdown and indicate advanced renal failure.

Choice C rationale: Confusion and vomiting are signs of acidosis and electrolyte disturbances and occur in advanced stages of renal failure.

Choice D rationale: One of the early symptoms of renal insufficiency is nocturia, which is the need to urinate frequently at night. This occurs because the kidneys are unable to concentrate urine during the day and produce more urine at night. Another early symptom is oliguria, which is the production of less than 400 mL of urine per day. This occurs because the kidneys are unable to excrete enough urine to maintain fluid balance.

A. Meningitis B. Inflammation of the fallopian tubes and oophoritis C. Condyloma acuminata D. Dysplasia

Correct Answer is B

Explanation

Choice A rationale: PID is not associated with meningitis, which is an infection or inflammation of the meninges.

Choice B rationale: Chronic PID typically involves long-term inflammation of the pelvic organs, including the fallopian tubes and ovaries.

Choice C rationale: This condition refers to genital warts caused by HPV, not directly related to PID.

Choice D rationale: Dysplasia refers to abnormal cell growth or development and isn't directly associated with PID.

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A client with a 16-year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency?

Correct Answer is D

Explanation

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Correct Answer is B

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