When a client is diagnosed with a urinary tract infection, the nurse anticipates that the client's urine will be
A) Transparent with an aromatic odor
B) Light yellow with a faint ammonia odor
C) Cloudy with an offensive odor
D) Greenish with a strong ammonia odor
Ans: C
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At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:
Capillary Blood Glucose Testing (AC/HS) Dietary Intake At 0630: 95 At 1130: 70 At 1630: 47 Breakfast: 10% eaten - client states she is not hungry Lunch: 5% eaten - client is nauseous; vomits once After reviewing the client's assessment data, which action is appropriate at this time? a. Assess the client's oxygen saturation level and administer oxygen. b. Reorient the client and apply a cool washcloth to the client's forehead. c. Administer dextrose 50% intravenously and reassess the client. d. Provide a glass of orange juice and encourage the client to eat dinner.
You are one of the nurses monitoring the dining room during dinner. A male patient who has schizophrenia asks a table mate to "please pass the pepper." When the table mate does so, the first patient throws the pepper shaker at you
He or she screams, "Now look what you've done! There are spiders all over my food! I can't eat this! Get the spiders out of there!" Your best response is: A. "Those aren't spiders; that is the pepper you asked for!" B. "I don't see any spiders. Let's go to the game room for a little while before you try eating again." C. "Where are the spiders? I am also afraid of them!" D. "It is inappropriate for you to throw things; you need to go to the locked unit now."
Which of these conditions can occur if a pleural effusion is left untreated?
a. atelectasis c. pleurisy b. empyema d. pulmonary edema
A nurse assesses that smoking, drinking alcohol, and exercising compulsively may occur as responses to a stressful situation. What type of response should this be considered?
a. External b. Withdrawal c. Denial d. Internal