ATI Clinical Exam | Nurselytic

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ATI Clinical Exam Questions

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Question 1 of 5

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take? What should the nurse do for low urine output?

Correct Answer: B

Rationale: The correct answer is B: Continue to monitor the client. In a 3-year-old child, the average expected urine output is about 1-2 ml/kg/hour. Given the child's weight of 33 lb (approximately 15 kg), the expected urine output over 8 hours would be around 120-240 ml. The child's output of 160 ml falls within this expected range, indicating adequate hydration.
Therefore, the nurse should continue monitoring the client for any changes.
Incorrect choices:
A: Notifying the provider is not necessary as the urine output is within the expected range.
C: Performing a bladder scan is not indicated as there is no indication of urinary retention.
D: Providing oral rehydration fluids is not necessary since the child's urine output is adequate.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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