A client had the following clear liquid dinner:
4 tablespoons of apple juice
8 oz beef broth
4 oz orange gelatin
1/2 pint of tea
What is the total intake the nurse should document in milliliters on the intake and output form?
A) 520
B) 590
C) 640
D) 670
D
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The nurse is providing education for a patient with peptic ulcer disease resulting from chronic nonsteroidal anti-inflammatory drug (NSAID) use who will begin a prescription of misoprostol (Cytotec)
The nurse evaluates that the patient understands the actions of this drug when he or she says it does what? A) Reduces the stomach's volume of hydrochloric acid B) Increases the speed of gastric emptying C) Protects the stomach's lining D) Increases lower esophageal sphincter pressure
Following an extensive diagnostic workup, an older adult patient has been diagnosed with a secondary myelodysplastic syndrome (MDS). What assessment question most directly addresses the potential etiology of this patient's health problem?
A) "Were you ever exposed to toxic chemicals in any of the jobs that you held?" B) "When you were younger, did you tend to have recurrent infections of any kind?" C) "Have your parents or siblings had any disease like this?" D) "Would you say that you've had a lot of sun exposure in your lifetime?"
A graduate nurse is preparing a care plan for an 88-year-old client admitted with type 2 diabetes mellitus. Which of the following nursing diagnoses would be most appropriate for this patient?
1. Risk for Infection 2. Risk for Falls 3. Ineffective Tissue Perfusion: Cardiac 4. Impaired Tissue Integrity
A nurse is performing a venipuncture on a patient and notices that there is a hole in one of the sterile gloves. What would be the appropriate action to take to maintain a sterile field?
A) Finish the procedure and perform handwashing immediately afterward. B) Finish the procedure, remove damaged gloves, and open new sterile gloves. C) Stop the procedure, remove damaged gloves, and open new sterile gloves. D) Stop the procedure, remove damaged gloves, perform handwashing, and open new sterile gloves.