The 154-pound adult client has had vomiting and diarrhea for 4 days se

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

ANSWER

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.