Electrolytes Question #43

Question

The nurse notes that a client has an insensible water loss of approximately 800 mL per day. In which way should the nurse consider the client is experiencing this type of fluid loss?

Answers

  1. Through the skin
    • Rationale:
  2. Urine output
    • Rationale:
  3. Wound drainage
    • Rationale:
  4. Gastrointestinal tract
    • Rationale:

Overview

Explanation

The correct answer is A. Sensible losses are considered output and are those of which a person is aware including wound drainage, gastrointestinal tract losses, and urination. Insensible losses that occur without awareness such as output from the skin and lungs.

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

Video Rationale