The nurse is explaining the importance of measuring intake and output to the client and his family. Intake that must be measured includes:
1. Urine
2. Stool
3. GI suction
4. Ice chips
5. Wound drainage
4
Rationale: Urine is output that must be measured
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If an individual's spouse is asked to make health care decisions for the spouse, which of these legal actions is being implemented?
a. durable power of attorney for health care b. Good Samaritan law c. health care surrogate law d. Patient Self-Determination Act
An adult client who resides in a long-term care facility is diagnosed with osteoporosis. The client has a history of falls and dementia. Which nursing intervention will best aid in meeting an outcome goal of injury prevention for this client?
A) Using furniture as obstacles to keep the client in the bed B) Keeping the bed in the lowest position C) Keeping a nightlight on in the room D) The use of wrist restraints
A patient in the emergency department (ED) is pacing the hallway, then sits briefly before getting up and walking again. What would be an appropriate description of this patient's psychomotor activity?
1. Energetic 2. Agitated 3. Retarded 4. Spontaneous
After teaching the parents of a daughter with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching?
A) "She needs to use the nasal spray once every day." B) "She'll start puberty again when the medication stops." C) "This medication will slow down the changes but not reverse them." D) "Once therapy is done, she'll need surgery."