The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 at 1415. The chest tube was previously marked at 155 mL and is now 175 mL. The nasogastric tube has 575 mL in the drainage container and the Jackson Pratt drain had 25 mL emptied from it. How many ml's should the nurse record as output for the shift

Answer and Explanation

The Correct Answer is ["1370"]

To calculate total output, we sum all recorded outputs:

Urine output:
- 400 mL + 350 mL = 750 mL
Chest tube drainage:
- 175 mL (current) - 155 mL (previous) = 20 mL
Nasogastric tube drainage: 575 mL
Jackson-Pratt drain output: 25 mL

Total Output = 750 + 20 + 575 + 25 = 1,370 mL

Correct Answer: 1,370 mL

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Correct Answer is A

Explanation

A. Electrolytes are within normal limits: Acute Renal Failure (ARF) leads to electrolyte imbalances (↑ K+, ↑ BUN/creatinine, metabolic acidosis). A successful treatment goal is restoring normal electrolyte balance.

B. Blood pressure is decreased to 120/80. BP control is important but not the primary goal in ARF.

C. Decrease of pain by 3 points on a 1-10 scale. Pain control is important, but not the main indicator of ARF improvement.

D. The client will understand how to care for the AV fistula. This applies to chronic kidney disease clients on hemodialysis, not ARF management.

A. Discard the client's last void at the end of the collection time period. B. Refrigerate the urine during the collection time period. C. Save the first void at the start of the collection time period. D. Include toilet paper with the collected urine

Correct Answer is B

Explanation

A. Discard the client's last void at the end of the collection time period. The last void must be included for complete data.

B. Refrigerate the urine during the collection time period: Refrigerating the urine prevents bacterial growth and chemical breakdown, ensuring accurate lab results. Some tests may require urine to be kept on ice instead.

C. Save the first void at the start of the collection time period. The first void is discarded because it may contain residual metabolites from the previous period.

D. Include toilet paper with the collected urine. Toilet paper can contaminate the sample and alter test results.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?

Correct Answer is A

Explanation

A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

The nurse is providing education to the client with a new arteriovenous fistula and the client asks "when I touch my fistula feel it vibrate, what does that mean? What statement by the nurse is the correct way to answer the client's question?

A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?

A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?

A client is in a motor vehicle accident with severe thoracic trauma. Which acid-base imbalance is most likely to develop?

The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?

A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?