Question

The nurse caring for a client with acute renal fluid (ARF) has noted that the client has voided 800 ml of urine in 4 hours. Based on this assessment, what should the nurse anticipate that client will need?

Answer 1

The client with ARF voiding 800 ml in 4 hours is above the oliguria threshold, suggesting a need for ongoing monitoring of fluid and electrolyte balance and renal function, with potential adjustments to treatment as indicated by further tests.

Step-by-step explanation:

In cases of acute renal failure (ARF), documenting and assessing urine output is critical for managing patient care. A client voiding 800 ml of urine in 4 hours during ARF suggests a reasonable urine production rate, especially considering oliguria is defined as less than 400 ml per day in adults.

The nurse should anticipate potential interventions for this patient may include monitoring fluid balance, electrolyte levels, and renal function closely. Adjustments to medication, like diuretics, and ensuring adequate hydration may be necessary depending on the underlying cause of ARF and to prevent further renal stress.

It is important to clarify that although this urine output is above the oliguria threshold, it does not necessarily reflect full recovery of renal function; urinalysis, blood tests for waste product levels (creatinine, urea), and ongoing clinical assessment remain essential.