A nurse needs to document an accurate fluid output assessment of an acutely ill client. Which of the following actions should the nurse perform?
A) Weigh the volume of IV fluid before instilling.
B) Weigh the client's wet linen or dressing.
C) Weigh the client without soiled incontinence pads.
D) Weigh the client before and after meals.
B
Feedback:
In cases in which accurate assessment is critical to a client's treatment, the nurse weighs wet linens, pads, or dressings and subtracts the weight of a similar dry item. The nurse does not weigh the client without soiled incontinence pads or weigh the client before and after meals to obtain an accurate assessment of the fluid output.
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A nurse is preparing information to be distributed at a national conference on AIDS. What should be included regarding mandatory disclosure of AIDS status?
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A patient is recovering after receiving sedation for a contrast medium study and has a score of 1 using the Modified Ramsay Sedation Scale. What action by the nurse is most appropriate at this time?
a. Document these normal findings. b. Prepare to increase the oxygen flow. c. Administer a drug-reversal agent. d. Listen to the breath sounds.
Which activity systematically inquires about the problems encountered in nursing practice and into the modalities of client care?
A) Nursing research B) Managed care C) Outcome criteria D) Scientific inquiry