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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 C

Explanation

Choice A reason: An RBC count of 4,500,000/mL is within the normal range and would not typically cause symptoms of anemia.

Choice B reason: Normal RBC indices do not indicate anemia and would not explain the symptoms.

Choice C reason: A hemoglobin level of 8.2 g/dL is below the normal range and would be consistent with symptoms of anemia such as fatigue and palpitations.

Choice D reason: A hematocrit of 38% is within the normal range for adult males and would not typically be associated with anemia symptoms.

A. Dumping syndrome B. Aspiration C. Gastroesophageal reﬂux disease D. Peptic ulcer disease

Correct Answer is B

Explanation

Choice A reason: Dumping syndrome is not commonly associated with dysphagia post-stroke.

Choice B reason: Aspiration is a significant risk for patients with dysphagia following a stroke and should be closely monitored to prevent complications like aspiration pneumonia.

Choice C reason: Gastroesophageal reﬂux disease may occur but is not the most immediate concern for stroke patients with dysphagia.

Choice D reason: Peptic ulcer disease is not directly related to dysphagia and is less likely to be an immediate complication post-stroke.

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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.

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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.

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