Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What is an appropriate urine output goal during hydration therapy?

1. 50-100 ml/hr

2. 100-150 ml/hr

3. 150-200 ml/hr

4. 200-250 ml/hr

The correct answer is: 150-200 ml/hr

The appropriate urine output goal during hydration therapy, particularly in the context of oncology patients, is typically around 150-200 ml/hr. Maintaining this level of urine output is essential for several reasons. It indicates that the kidneys are functioning well and effectively excreting excess fluids and waste products. Appropriate hydration not only helps prevent acute kidney injury but also assists in flushing out toxins that may be elevated due to chemotherapy or other oncological treatments. Achieving a urine output in this range supports optimal fluid management and balances electrolytes, minimizing the risk of complications associated with both volume overload and dehydration. Additionally, in the setting of certain chemotherapy regimens, ensuring adequate hydration can help reduce the risk of nephrotoxicity. While lower urine output goals can potentially indicate adequate hydration in some cases, they may not effectively reflect the need for thorough kidney function monitoring, especially in high-risk patients. Therefore, the goal of 150-200 ml/hr serves as a standard aim in oncology nursing practice to safeguard patient health during hydration therapy.