Question

In hypovolemic shock, renal perfusion and urinary output decline. The nurse will monitor urinary output and knows that output below which of the following levels indicates inadequate renal perfusion?

a) 40—20 mL/hour
b) 60—40 mL/hour
c) 80—60 mL/hour
d) 20 mL/hour

Answer 1

In hypovolemic shock, a urinary output of less than 20 mL/hour indicates inadequate renal perfusion, with the normal minimum urine volume necessary for bodily functions being about 500 mL/day. Option d) 20 mL/hour is therefore the correct answer.

Step-by-step explanation:

In hypovolemic shock, renal perfusion and urinary output decline significantly. Monitoring urinary output is crucial for assessing the extent of renal perfusion. A urine output of less than 30 mL/hour is generally indicative of inadequate renal perfusion, and in the context of acute renal conditions such as hypovolemic shock, pertains to a serious concern for oliguria. The kidneys normally produce a minimum urine volume of about 500 mL/day to rid the body of wastes. Any output below this level might suggest renal impairment and would warrant immediate medical attention. Therefore, of the options provided (a) 40—20 mL/hour, b) 60—40 mL/hour, c) 80—60 mL/hour, and d) 20 mL/hour), option d) 20 mL/hour is considered as the threshold below which renal perfusion is deemed inadequate.