Author Question: The 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection. ... (Read 639 times)

wrbasek0 · **on:** Jul 23, 2018

The 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection. What hourly urine measurement would indicate that efforts to rehydrate this client have not yet been successful and should continue?

1. 35 mL per hour
2. 80 mL per hour
3. 50 mL per hour
4. 30 mL per hour

Question 2

The nurse suspects that a client's body is attempting to correct an acidbase imbalance. How will this imbalance be corrected?

1. Slow but efficient respiratory regulation will occur.
2. Primary regulation is through GI system losses.
3. Kidney regulation is powerfully effective.
4. The cardiovascular system is the major buffer.

Anton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: This is the expected urine output and would be considered successful.
Rationale 2: This volume of urine output means efforts to rehydrate the client have been successful.
Rationale 3: This volume of urine output indicates efforts to rehydrate the client have been successful.
Rationale 4: Normal urine output for adult clients is at least 0.5 mL/kg/hour. This client weighs 70 kg, so adequate urine output would be 35 mL/hour. A urine output of 30/mL/hr indicates that efforts at rehydration have not been successful.

Answer to Question 2

Correct Answer: 3
Rationale 1: Respiratory regulation is rapid, but temporary.
Rationale 2: The gastrointestinal system is not involved in the regulation of acidbase balance.
Rationale 3: Renal regulation is slower, but powerfully effective.
Rationale 4: The cardiovascular system is not involved in the regulation of acidbase balance.