You are caring for a patient admitted to your unit with renal calculi. A renal ultrasound indicates that the patient does not have hydronephrosis and the physician writes orders to increase the patient's fluid intake
The nurse instructs the patient to increase her fluid intake to a level where the patient produces at least how many mL/day of urine?
A) 500 mL urine/day
B) 1000 mL urine/day
C) 1500 mL urine/day
D) 2000 mL urine/day
Ans: D
Feedback: Unless contraindicated by renal failure or hydronephrosis, patients with renal stones should drink at least eight 8-ounce glasses of water daily or have IV fluids prescribed to keep the urine dilute. A urine output exceeding 2 L a day is advisable.
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An abnormal finding in the examination of an older person's mouth would be
a. Pink, moist, and smooth gums b. Varicose veins on the underside of the tongue c. White patches along the gum line or under dentures d. Decreased saliva production
While assessing a client on a cardiac unit, a nurse identifies the presence of an S3 gallop. Which action should the nurse take next?
a. Assess for symptoms of left-sided heart failure. b. Document this as a normal finding. c. Call the health care provider immediately. d. Transfer the client to the intensive care unit.
A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy
At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? A) "Unfortunately, your current chemotherapy program will likely preclude the use of herbs." B) "If that's something in which you and your family see potential benefit, I'd encourage you to pursue it." C) "It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make sure there aren't any interactions." D) "It's likely best to begin taking herbal remedies after you've completed this round of chemotherapy."
A nurse incorporating a client's psychosocial reaction to a disabling illness into the plan of care would use a staging model because the model
a. allows the nurse to group the client with peers for socializing. b. describes the process of adaptation as a standardized process. c. explains some common reactions to the disabling condition. d. predicts the experience of psychosocial adaptation.