An adult client rings the call bell and asks the nurse for assistance in getting to the bathroom to void. The nurse assists the clientestimating that the client has approximately how many mL inthe bladder if the client is feeling a sensation of fullness?
A. 100 mL
B. 250 mL
C. 400 mL
D. 800 mL
Ans: C. 400 mL
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The nurse is caring for a 46-year-old patient recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating patients with non–small cell tumors is what?
A) Chemotherapy B) Radiation C) Surgical resection D) Bronchoscopic opening of the airway
A nurse is caring for a patient who had a right below-the-knee amputation (BKA). The nurse recognizes the importance of implementing measures that focus on preventing flexion contracture of the hip and maintaining proper positioning
Which of the following measures will best achieve these goals? A) Encouraging the patient to turn from side to side and to assume a prone position B) Initiating ROM exercises of the hip and knee 10 to 12 weeks after the amputation C) Minimizing movement of the flexor muscles of the hip D) Encouraging the patient to sit in a chair for at least 8 hours a day
A toddler is diagnosed with osteomyelitis. What should the nurse anticipate as a priority intervention when planning this child's care?
A) Assisting the child with crutch walking B) Maintaining intravenous antibiotic therapy C) Keeping the child quiet while in skeletal traction D) Restricting fluid to encourage red cell production
The nurse is preparing the assessment of a client with a diagnosis of paranoid personality disorder. What client characteristics will the nurse document?
A) Suspicions and rigidity B) Superficial charm C) Affective instability D) Grandiosity