Elimination & tissue integrity NCO NCLEX Questions

A client is admitted to the hospital in the oliguric phase of acute kidney injury. The client's urine output for the past 12 hours was 200 mL. The nurse notes a prescription for 900 mL of oral fluids over the next 24 hours. Which interpretation of the amount of prescribed fluid would the nurse make? 1. It equals the expected urinary output for the next 24 hours. 2. It will prevent the development of pneumonia and a high fever. 3. It will compensate for both insensible and expected output over the next 24 hours. 4. It will reduce hyperkalemia, which can lead to life-threatening cardiac dysrhythmias.

3. Compensate for both insensible and expected output over the next 24 hours**Insensible losses are 400 to 500 mL in 24 hours; the measured output is about 400 mL in 24 hours based on the available history.

The nurse is reviewing the plan of care for a client who is scheduled for a barium swallow test. Which will the plan include? 1. Giving clear fluids on the day of the test 2. Asking the client about allergies to iodine 3. Administering cleansing enemas before the test 4. Administering a laxative after the procedure

4. Administering a laxative after the procedure; Barium will harden and may create an impaction; a laxative and increased fluids promote elimination of barium. The client must be kept nothing by mouth. Iodine is not used with barium. Administering cleansing enemas before the test is not part of the preparation; feces in the lower gastrointestinal (GI) tract will not interfere with visualization of the upper GI tract.

Which nursing intervention is the priority for a client in the acute-care setting with urine output of 250 mL in 24 hours, blood osmolality of 310 mOsm per kilogram, and a systolic blood pressure of 90 mm Hg? 1 Consider it as a normal finding. 2 Advise the client to drink 2 to 3 L of water daily. 3 Assess the creatinine and blood urea nitrogen (BUN) levels. 4 Request an increase in the intravenous fluid rate from the health care provider.

Request an increase in the intravenous fluid rate from the health care provider.