The nurse must keep an accurate intake and output record to assess kidney efficiency. In order for the kidneys to remove waste, what is the least amount of hourly urine output the kidneys must produce to remove waste?
a. 10 mL
b. 20 mL
c. 30 mL
d. 40 mL
ANS: C
The kidneys must excrete a minimum of 30 mL/hour to eliminate waste products.
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When assessing the force, or strength, of a pulse, the nurse recalls that the pulse:
a. Is usually recorded on a 0- to 2-point scale. b. Demonstrates elasticity of the vessel wall. c. Is a reflection of the heart's stroke volume. d. Reflects the blood volume in the arteries during diastole.
When assessing a newborn's 1-minute Apgar score, which of the following would the nurse evaluate?
A) Hearing ability B) Muscle tone C) Blood pressure D) Birthweight
The parents of a child who has suffered serious burns and is scheduled for temporary grafts asks the nurse to explain why the child needs temporary grafts instead of permanent ones. Which of the following is the nurse's best answer?
a. "The temporary graft gives the tissue area time to rest and recover from the burn before the work of accepting a permanent graft." b. "The temporary graft allows for a quick skin cover while the surgeon studies just what type of permanent graft to use." c. "Temporary grafts provide an educated guess as to how difficult it will be to get the permanent graft to ‘take.'" d. "Temporary grafts promote formation of granulation tissue, which has to be present before a person can be permanently grafted."
Intimate partner violence fundamentally is based in the desire for control on the part of the perpetrator. What is a relationship risk factor for intimate partner violence?D
A) Emotional dependence and insecurity B) Belief in strict gender roles C) Desire for power and control D) Unhealthy family relationships and interactions