ESIC Nursing Officer 2016 (Shift -2)
Fundamental of Nursing
Easy

<300 ml of urine in 24 hr is known as?

Appeared in: ESIC Nursing Officer 2016 (Shift -2)

Explanation

  • Oliguria is the medical term for low urine output, specifically defined as less than 400 mL in a 24-hour period.
  • The patient's output of 300 mL is below the 400 mL threshold, which correctly classifies the condition as oliguria.
  • This finding is a significant indicator of dehydration, renal hypoperfusion, or impending acute kidney injury (AKI).

Why Other Options Were Wrong

  • Option B: Anuria represents a more severe reduction in urine output, defined as less than 100 mL (or sometimes less than 50 mL) in 24 hours.
  • Option C: This term refers to the act of involuntary urination, commonly known as bedwetting. It describes a lack of bladder control, not the volume of urine produced.
  • Option D: This term is unrelated to the urinary system. It describes the involuntary passage of feces (soiling) in a person who is already toilet-trained.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Chart: Comparison of Urinary Output Volumes. A bar chart visually comparing the 24-hour urine volumes for Normal Output, Polyuria, Oliguria, and Anuria, with clear labels for the volume thresholds.
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Terminology for abnormal urinary output volumes as background academic context rather than a clinical decision trigger.
  • Accurate monitoring and documentation of urine output is a fundamental nursing responsibility to detect fluid imbalances and renal dysfunction at an early stage.
  • Oliguria is a critical warning sign that must be reported to the healthcare provider promptly, as it can be an early indicator of Acute Kidney Injury (AKI), which requires immediate intervention.
  • What if? If the patient's 24-hour urine output was 90 mL, the condition would be classified as Anuria, indicating a more critical state of renal failure requiring emergency assessment and intervention.
How to Approach the Question
  • First, identify the key information in the question: a specific urine volume (300 mL) over a specific time frame (24 hours).
  • Recognize that the question is asking for the correct medical term for this finding, which requires recalling definitions.
  • Recall the standard definitions for terms related to urine volume: Normal output is approximately 800-2000 mL/day.
  • Compare the given volume (300 mL) to the definitions for abnormal output: Oliguria is less than 400 mL/day, and Anuria is less than 100 mL/day.
  • Determine that 300 mL fits the definition of Oliguria.
  • Eliminate the other options by definition: Enuresis and Encopresis relate to incontinence (control), not volume, and are therefore incorrect.
Concept Tested & Keywords
  • Concept Tested: Terminology for abnormal urinary output volumes
  • Stem keywords: <300 ml, urine, 24 hr
  • Lead-in keywords: known as

Question ID

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