Order: For every 100 mL of urine output, replace with 30 mL of water via PEG tube q.4h. The client's urine output is 350 mL. What is the replacement volume?
1. 10.5 mL
2. 105 mL
3. 1050 mL
4. 11.67 mL
2
Rationale 1:
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A patient is seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?
a. Blood pressure readings are taken in both the arms and the thighs. b. The patient is assisted to a lying position, and his blood pressure is taken. c. His blood pressure is recorded in the lying, sitting, and standing positions. d. His blood pressure is recorded in the lying and sitting positions; these numbers are then averaged to obtain a mean blood pressure.
An important concern for the older adult may include adapting the personal environment to support:
a. identity and role clarification. c. safety and independence. b. integrity and generativity. d. autonomy and intimacy.
The nurse in the emergency department is using a triage system because this system ranks clients by:
1. severity of illness or injury. 2. body systems involved. 3. name. 4. age.
A client desiring to become pregnant is concerned because the opening of her spouse's penis is below the tip. How should the nurse respond to this client?
1. "This is epispadias and it will cause infertility." 2. "This is hypospadias and it will cause infertility." 3. "This is epispadias and is not likely to impact fertility." 4. "This is hypospadias and is not likely to impact fertility."