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You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

Answer and Explanation

The Correct Answer is ["82.5"]

The general rule of thumb for urine output is 0.5 mL/kg/hour.

Step 1: Convert the patient's weight from pounds to kilograms.

We know that 1 kg = 2.2 lbs.

So, we have:

363 lbs ÷ 2.2 = 165 kg (rounded to the nearest whole number)

Step 2: Calculate the urine output using the rule of 0.5 mL/kg/hour. So, we have:

165 kg × 0.5 mL/kg/hour = 82.5 mL/hour

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Correct Answer is B

Explanation

Choice A reason: Dabigatran does not specifically slow the ventricular response; medications like beta-blockers are typically used for rate control in atrial fibrillation.

Choice B reason: Dabigatran is an anticoagulant that reduces the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation by preventing clot formation.

Choice C reason: Dabigatran does not convert atrial fibrillation to sinus rhythm; that would be the role of antiarrhythmic drugs or procedures like cardioversion.

Choice D reason: While dabigatran can prevent clots from forming, it is not used to dissolve existing clots; thrombolytic agents are used for that purpose.

A. Hypertension B. History of sickle cell disease C. Parent who has cardiovascular disease D. Client's age

Correct Answer is A

Explanation

Choice A reason: Hypertension is a well-known modifiable risk factor for stroke. Controlling blood pressure can significantly reduce the risk of having a stroke.
Choice B reason: A history of sickle cell disease is a genetic condition and is not considered a modifiable risk factor.
Choice C reason: Having a parent with cardiovascular disease is a non-modifiable risk factor as it is related to genetics.
Choice D reason: Age is a non-modifiable risk factor for stroke. The risk of stroke increases with age.

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You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

Nursing Test Bank

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