The nurse is having difficulty developing nursing diagnoses for a client because of incomplete assessment data. A problem with assessment data may be that the:
a. data is comprehensive.
b. client may be unwilling to share data.
c. complete validation is needed.
d. nursing diagnosis is clear.
ANS: B
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The nurse must keep an accurate intake and output record to assess kidney efficiency. In order for the kidneys to remove waste, what is the least amount of hourly urine output the kidneys must produce to remove waste?
a. 10 mL b. 20 mL c. 30 mL d. 40 mL
Values and beliefs help to define a culture's behavioral standards, which are known as
1. norms. 2. opinions. 3. attitudes. 4. viewpoints.
The nurse is preparing a patient for a computed tomography scan of the abdomen. Which statement by the nurse is best (all contain correct information)?
1) "You will need to remain NPO for the 8 hours prior to your CT scan." 2) "You cannot have anything to eat or drink for 8 hours before your test." 3) "You will need to be NPO and drink this contrast media before your test." 4) "You may need to void before you go down to the department for your CT scan."
Just before the second course of
chemotherapy, the laboratory calls to report that the patient's neutrophil count is 450 cells/mm3. The nurse expects that the oncologist will follow which course of treatment? a. Chemotherapy will continue as scheduled. b. Chemotherapy will resume with a lowered dosage. c. Chemotherapy will resume after a transfusion of neutrophils. d. Chemotherapy will be withheld until the neutrophil count returns toward normal levels.