The nurse is assessing a client's urine output. In addition to amount, the nurse notes the characteristics of the urine. Which is considered a normal characteristic of urine?
a. It has a musty odor.
b. It contains mucus.
c. It appears transparent.
d. It is dark amber in color.
ANS: C
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A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice. B) Provide a detailed pamphlet on a dressing change. C) Verbally instruct the patient how to change a dressing and check for comprehension. D) Delegate the dressing change to a trusted family member.
The critical care nurse is preparing to initiate an infusion of a vasoactive medication to a patient in shock. The nurse knows that vasoactive medications are given in all forms of shock. What is the primary goal of this aspect of treatment?
A) To prevent the formation of infarcts of emboli B) To limit stroke volume and cardiac output C) To prevent pulmonary and peripheral edema D) To maintain adequate mean arterial pressure
The nurse caring for an 80-year-old COPD patient suspects right-sided heart failure and assesses and records the data. A sign of right-sided heart failure is decreasing:
1. blood pressure. 2. urine output. 3. respirations. 4. heart rate.
An older adult patient has fluctuating levels of awareness, anxiety, and appears to be picking things out of the air. The patient says, "I saw my granddaughter standing at the foot of the bed last night." The nurse should suspect
a. delirium. b. dementia. c. schizophrenia. d. bipolar disorder.