The nurse records and notes all potential fluid output from a client, including: Standard Text: Select all that apply
1. Feces.
2. Urine.
3. Perspiration.
4. IV fluids.
5. NG tube feedings.
1,2,3
Rationale: Fluid output through feces, especially diarrhea, needs to be documented in all clients, especially the very young and very old.
You might also like to view...
The nurse uses a diagram to show how the four parts of "self" fit together. What are the four parts? (Select all that apply.)
a. Body image b. Ego c. Self-esteem d. Role e. Identity
Which patient statement indicates an understanding about the risk factors associated with Parkinson disease?
A) "Aluminum exposure does not increase the risk for Parkinson disease." B) "The risk for Parkinson disease declines with age." C) "Women are at greater risk for Parkinson disease than men." D) "My high caffeine intake has a protective effect against Parkinson disease."
An alcoholic client is being discharged. To help enhance the client's self-esteem, it would be most appropriate for the staff nurse to provide information about:
a. Taking a vacation alone b. Self-help support groups c. Referral sources d. Nutritional support
What is the mechanism that results in type II hypersensitivity reactions?
a. Antibodies coat mast cells by binding to receptors that signal its degranulation, followed by a discharge of preformed mediators (Asthma) b. Antibodies bind to soluble antigens that were released into body fluids, and the immune complexes are then deposited in the tissues (Rheumatoid arthritis) c. Cytotoxic T lymphocytes or lymphokine-producing helper T 1 cells directly attack and destroy cellular targets (Cell mediated contact dermatitis d. Antibodies bind to the antigens on the cell surface of a specific tissue (Cytotoxic ABO incompatibility)