A patient who has acute kidney injury and who weighs 90 kg had a urine output of 25 mL over the last 12 hours. The nurse would place this patient in which RIFLE category?
1. Injury
2. Risk
3. Failure
4. Loss
Answer: 3
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The nurse knows the following wound would be classified as a closed wound:
a. A large bruise on the side of the face b. A surgical incision that is sutured closed c. A puncture wound that is healing d. An abrasion on the leg
The Nursing Minimum Data Set (NMDS) was designed to:
a. determine differences in care delivery between the holder of an associate degree in nursing and a bachelor's of science in nursing. b. evaluate the nursing language of NAN-DA, Nursing Interventions Classification, and Nursing Outcomes Classification. c. provide data for leaders to make decisions about staffing patterns. d. standardize the collection of nursing data across populations.
Data provided by studies on patients with community-acquired pneumonia (CAP) have influenced the standards of practice for those patients
Which order should the nurse anticipate on the standard orders as a result of initiatives developed through clinical studies? a. Obtaining blood cultures within 4 hours of arrival at the hospital b. Administering antibiotics within 4 hours of arrival at the hospital c. Administration of aspirin on arrival to the hospital d. Administration of oxygen at 4 L per nasal prongs
A client's teenaged son recently committed suicide. She discovered her son's body and subsequently received a diagnosis of posttraumatic stress disorder. A nurse is helping her work through the trauma
Which nursing statement reflects the therapeutic technique of "placing the event in time or sequence?" A) "The day you discovered your son's body, you were arriving home from work. What happened then?" B) "Tell me about finding your son's body." C) "I notice you seem uncomfortable discussing this." D) "What is it that you would like to see change during your stay here?"