A nurse notes that a client's urine output is less than 300 ml ...

[bucstennis@aim.com]

A nurse notes that a client's urine output is less than 300 ml over the past 24 hours. Which of the following could be the possible cause for the client's decreased output?
 
  A) Diuretic medication
  B) Endocrine disease
  C) Kidney dysfunction
  D) Liver disease

Question 2

A nurse is aware that clear and accurate communication is necessary whenever clients are transferred or referred. Which of the following situations best demonstrates a referral?
 
  A) A client is moved from a subacute hospital unit to the intensive care unit following a hypertensive crisis.
  B) A client is relocated from the orthopedic ward to a rehabilitation ward after recovery from a knee replacement.
  C) The nurse arranges for a client with a diabetic foot ulcer to see a podiatrist in community.
  D) The nurse gives report to the hospital's radiology department before a client is sent down for an x-ray.

[kilada]

Answer to Question 1

C
Feedback:
Kidney dysfunction could be a possible cause for the low volume of urination by the client. Diuretic medication and endocrine disease would increase the volume of urination. Liver disease would cause the urine to appear brown in color.

Answer to Question 2

C
Feedback:
A referral is the process of sending someone to another person or agency for special services, such as podiatry. Inpatient diagnostic testing is not considered to be a transfer or referral, since the client will return to the original unit after the procedure. Movement to another setting in the same agency is transfer.