The nurse is assessing a client admitted for oliguria of unknown origin. During the admission, the client asks the nurse what affects urinary output. The nurse would list which of the following when responding? Standard Text: Select all that apply.

Question

1. Bladder size
2. Bowel patterns
3. Medications
4. Client temperature
5. Fluid intake

Answer 1

1,3,4,5
Rationale 1: Bladder size. Bladder size affects the amount and number of times a client voids. An adult may void five or six times per day in amounts averaging 100 to 400ml.
Rationale 2: Bowel patterns. Bowel pattern generally has no affect on urinary output.
Rationale 3: Medications. Various medications may affect the total urinary output. For example, diuretics will increase the amount urinary output.
Rationale 4: Client temperature. The client's temperature may affect the total urinary output. During times of fever the urinary output may decrease as a result of diaphoresis or dehydration.
Rationale 5: Fluid intake. The amount of fluid intake should closely correlate with the amount of fluid the client eliminates. When the amounts do not closely correlate, the reason for the difference must be investigated as it could be indicative of a potential problem.