Which of the following urine values reflects a decreased ability of the kidneys to concentrate urine?
a. pH of 5.0 c. No casts
b. Specific gravity of 1.000 d. Urine sodium of 140 mEq/24 hr
B
Specific gravity measures the density or weight of urine compared with that of distilled water. The normal urinary specific gravity is 1.005 to 1.025 . For comparison, the specific gravity of distilled water is 1.000 . Because urine is composed of many solutes and substances suspended in water, the specific gravity should always be higher than that of water.
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Which nursing care delivery situation best reflects the concept of a clinical microsystem?
1. A rural free clinic housed in a church gymnasium that is staffed by volunteer nurses and physicians 2. A walk-in clinic in a local discount store that is staffed by a nurse practitioner 3. An inpatient burn unit 4. A general medical-surgical unit in a midsized hospital
X : l = 0.5 : 5
x = _____ a. 0.l b. 10 c. l.0 d. 2.5
As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship, which is the nurse's most therapeutic statement?
A. "I want to assure you that I will maintain your confidentiality." B. "A long-term goal for someone your age would be to develop better job skills." C. "Which identified problems would you like for us to initially address?" D. "I think first we need to focus on your relationship issues."
Which fluid replacement method will the nurse identify for a patient on a fluid restriction?
a. Freely throughout the day and evening shift b. One third of the allowed volume on each shift c. Half the volume with meals and the remainder divided among shifts d. As the patient desires