The NAP reports that M.Z.'s 8-hour intake is 520 mL and the output is 140 mL. Identify two
possible reasons that could account for the difference, and explain how you would assess
each.
What will be an ideal response?
Tubing kinks or obstruction: Check tubing for kinks and blockage (follow agency policy regarding
irrigation of catheter if needed); assess for bladder distention.
Dehydration: Assess skin turgor and mucous membranes; monitor laboratory values; check total
record for the last several days, including M.Z.'s daily weight.
Inaccurate recording of I&O: Double-check with those caring for M.Z. about any discrepancies.
Acute kidney injury (AKI): Oliguria is the most common initial manifestation of AKI. Check laboratory
studies and notify the primary care physician.
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What technology has been described as the next frontier for home health and related community-based systems?
a. EHR b. CDS c. EMR d. BCMA
A nursing instructor teaches a class of student nurses that the most effective communication style for nurses to practice is
1. Passive. 2. Avoidant. 3. Assertive. 4. Aggressive.
The scrub nurse is preparing the sterile field by opening an instrument package that was sterilized in an autoclave with direct exposure to steam. This type of sterilization is considered to be:
1. high-pressure/high-temperature steam. 2. cold chemical. 3. dry heat. 4. alcohol.
Which of the following is a symptom of tension headaches?
1. A feeling of tightness or pressure around the head 2. Unilateral throbbing or pounding head pain 3. Nausea, vomiting, anorexia 4. Sensitivity to light and/or noise