A nurse is assessing a postoperative client on an hourly basis. The nurse notes that the client's urine output for the past hour was 25 mL. On the basis of this finding, the nurse should take which action first?

A. Call the health care provider
B. Increase the rate of the IV infusion
C. Check the client's overall intake and output record
D. Administer a 250-mL bolus of normal saline solution (0.9%


Ans: C. Check the client's overall intake and output record

Nursing

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Healthcare Information and Management Systems Society (HIMSS) has defined and described the term electronic Personal Health Record (ePHR). Which of the following are included in the HIMSS definition and description? Select all that apply

1. Universally accessible 2. Owned and managed by the individual (or legal proxy) 3. Usually considered a legal record 4. Common data set of electronic health information 5. Lifelong tool for managing relevant health information

Nursing

Perioperative nursing standards such as those produced by ACORN and AORN can best be described as:

a. the legislated rules by which perioperative nurses must practise to the exclusion of all other regulations at all times. b. the best-practice guidelines designed to improve nurses' delivery of patient care during the perioperative journey. c. the standards of professional practice for all nursing disciplines. d. the updates to practice in the perioperative setting.

Nursing

The period when reproductive organs begin to function and the secondary sex characteristics appear is called:

a. Pre-adolescence b. Menarche c. Teenage d. Puberty

Nursing

A home care nurse has just completed a dressing change on her client. Which of the following statements best describes the termination phase?

A) "Mr. Anosti, you need to eat more protein to assist with wound healing." B) "Mr. Anosti, how much pain are you having? Tell me, with 10 being the worst and 1 being the least." C) "Mr. Anosti, your wound is healing nicely. It is draining less and it is smaller by a half centimeter, approximately a quarter inch." D) "Mr. Anosti, have you had any problems since our last visit? Is your wife doing well with your dressing changes?"

Nursing