Which of the following should be included when a nurse is recording a client's output? (Select all that apply.)
a. NG tube drainage d. diarrhea
b. vomitus e. surgical drain
c. urine
A, B, C, D, E
A client's intake and output should be measured and recorded for a 24-hour period to assess for an actual or potential imbalance. Output that should be recorded includes: urine, vomitus, diarrhea, and drainage from tubes such as gastric suction or surgical drains.
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The patient is to undergo chest tube placement. What is the best nursing intervention to prevent a complication of this procedure?
A) Facilitate chest tube removal on day 3. B) Use the supine position during chest tube removal. C) Premedicate with an intravenous opioid. D) Keep drainage tubing off the bed.
A 4-year-old boy presents with a chronic cough and swollen lymph nodes. His records show that he has been given antibiotics several times in the past year with limited success,
most recently for a liver abscess, and that he also has a recurring fungal skin condition. Which of the following is his most likely diagnosis? A) Selective IgA deficiency B) A deficiency in IgG2 subclass antibodies C) Chronic granulomatous disease D) Ataxia-telangiectasia
Follow-up teaching for a client who has just had a squamous cell carcinoma removed from the skin must include: Select all that apply
1. Inspecting the skin vigilantly on a routine basis. 2. Having caregiver inspect the hard-to-visualize areas of the body. 3. Reporting any suspicious-looking areas to the primary health care provider. 4. Using sunscreen routinely. 5. Covering areas where the cancer has occurred with clothing or hats.
The glycemic index is a listing of foods and what their impact is on blood glucose response. How is a food's glycemic index determined?
A) A comparison is made between the blood glucose response caused by 25 g of pure glucose and 25 g of a food sample. B) Serial blood glucose levels are drawn after eating 25 g of a food sample and compared to a chart on blood glucose levels after eating 25 g of sucrose. C) Serial blood glucose levels are drawn after eating 50 g of pure sucrose and compared to blood glucose levels after eating 50 g of a food sample. D) A comparison is made between the blood glucose response caused by 50 g of pure glucose and 50 g of a food sample.