A patient with hypovolemic shock is experiencing oliguria due to hemorrhage. Which should the nurse recognize as the most likely cause of the patient's oliguria?
a. End-stage renal failure
b. Secretion of aldosterone
c. Inadequate oral fluid intake
d. Obstructed urinary catheter
ANS: B
Stimulation of the renin-angiotensin-aldosterone system from decreased cardiac output causes vasoconstriction and retention of sodium and water to decrease further fluid loss, resulting in oliguria. A. There is no evidence to support that the patient is in end-stage renal failure. C. Since the patient is in hypovolemic shock, it is unlikely that oral fluids are being provided. D. There is not enough information to support that a urinary catheter is kinked in this patient.
You might also like to view...
A nurse would expect to administer which drug(s) to a group of military personnel exposed to inhalation anthrax in a limited-casualty setting? You may select more than one answer
a. Ciprofloxacin or doxycycline b. Additional antibiotics c. Penicillin d. Ampicillin e. Atropine
The ability of the infant to become adjusted or adapted to a specific environmental stimulus is called ____________________
Fill in the blank(s) with correct word
In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out, when I lie down flat on my back.". The nurse integrates which of the following in to the explanation?
A) Pressure of the gravid uterus on the vena cava B) A 50% increase in blood volume C) Physiologic anemia due to hemoglobin decrease D) Pressure of the presenting fetal part on the diaphragm
The nurse is instructing a new mother on the method to provide a newly prescribed medication to her 2-month-old infant. What should the nurse include in this teaching?
1. Mix the medication into the baby's formula. 2. Use a nipple so the baby can suck the medication. 3. Use a syringe or dropper to provide the medication. 4. Place a small amount of the medication along the side of the baby's cheek. 5. Prepare twice the amount of medication prescribed because the baby will spit out half of it.