Nursing care for a client with urinary bladder calculi should include
a. checking for abdominal distention.
b. collecting a 24-hour urine specimen for calcium.
c. encouraging fluid intake up to 4000 ml/day.
d. maintaining bed rest.
C
The nurse should encourage the client to increase fluid intake to 3 to 4 L daily (unless contrain-dicated) to ensure a urine output of 2.5 to 3 L/day.
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A 38-year-old woman takes clomiphene, an infertility drug that works by competing with, and thereby blocking, cellular receptors for estrogen. Which of the following statements is most likely to be true of this client?
A) Receptors for all other steroid hormones will also be blocked. B) Up-regulation will increase the number of estrogen receptors on each target cell. C) Estrogen will continue to pass freely through the cellular membranes. D) Laboratory tests will reveal an increase in cyclic adenosine monophosphate (cAMP) levels.
Which isotonic solution is often used in providing a source of energy to clients receiving total parenteral nutrition (TPN)?
A) Lipid emulsions B) Normal saline solution (NSS) C) Dextrose 5% in water (D5W) D) Ringer's lactate (RL)
What information should be elicited from the client before the client undergoes an arthro-graphy?
A. Allergy to shellfish or iodine B. Onset of symptoms C. Recent upper respiratory infection D. Time since the last meal was ingested
In general, when a patient's energy requirements are completely met by kilocalorie (kcal) intake in food, which assessment finding will the nurse observe?
a. Weight increases. b. Weight decreases. c. Weight does not change. d. Weight fluctuates daily.