Which fluid output measurement is the most concerning for a nurse?
60 mL of urine in a 2-hour period
720 mL of urine in a 24-hour period
600 mL of urine in a 10-hour period
100 mL of urine in a 5-hour period
The Correct Answer is D
Choice A reason: 60 mL of urine in a 2-hour period is not very concerning for a nurse, as it is within the normal range of urine output. The average urine output for an adult is about 1 to 2 L per day, or 40 to 80 mL per hour¹.
Choice B reason: 720 mL of urine in a 24-hour period is slightly below the normal range, but not alarming. It may indicate mild dehydration or reduced fluid intake, but it is not a sign of fluid volume excess or kidney failure¹.
Choice C reason: 600 mL of urine in a 10-hour period is also within the normal range of urine output, and does not indicate any problem with fluid balance or renal function¹.
Choice D reason: 100 mL of urine in a 5-hour period is the most concerning for a nurse, as it indicates oliguria, or abnormally low urine output. Oliguria is defined as urine output less than 400 mL per day, or less than 20 mL per hour². It may be caused by acute or chronic kidney injury, urinary obstruction, shock, dehydration, or fluid volume excess². Oliguria can lead to fluid overload, electrolyte imbalance, acidosis, and uremia, and requires immediate medical attention².
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Choice A reason: Diffusion is the process by which small ions such as glucose, oxygen, and carbon dioxide redistribute themselves through semipermeable membranes from areas of higher concentration to areas of lower concentration. This is how these molecules move across the cell membrane and the capillary wall.
Choice B reason: Osmosis is the process by which water moves through semipermeable membranes from areas of lower solute concentration to areas of higher solute concentration. This is how water balance is maintained across the cell membrane and the capillary wall.
Choice C reason: Blood pressure is the force exerted by the blood on the walls of the blood vessels. It is not a process by which small ions redistribute themselves through semipermeable membranes, but rather a factor that influences the movement of fluids and solutes across the capillary wall.
Choice D reason: Rehydration is the process of restoring the fluid balance in the body by drinking fluids or receiving intravenous fluids. It is not a process by which small ions redistribute themselves through semipermeable membranes, but rather a treatment for dehydration.
Correct Answer is C
Explanation
Choice A reason: This is a low value for serum calcium, which indicates hypocalcemia. Hypocalcemia can cause muscle spasms, tetany, seizures, and cardiac arrhythmias.
Choice B reason: This is also a low value for serum calcium, which indicates hypocalcemia. Hypocalcemia can cause muscle spasms, tetany, seizures, and cardiac arrhythmias.
Choice C reason: This is the normal range of serum calcium in adults. Calcium is essential for bone health, muscle contraction, nerve transmission, and blood clotting.
Choice D reason: This is a high value for serum calcium, which indicates hypercalcemia. Hypercalcemia can cause nausea, vomiting, constipation, confusion, lethargy, and kidney stones.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today