The nurse closely monitors the intake and output of a comatose client receiving hypertonic tube feedings because such feedings can cause
a. concentration of urine.
b. hypovolemia.
c. renal failure.
d. retention of fluid.
B
Hypertonic feeding can cause hypovolemia from hypertonic dehydration. The nurse should ensure the client receives 1 ml of water/1 kcal of feeding.
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Nurses at a health care facility maintain client records using a method of documentation known as charting by exception. Which of the following is a benefit of this method of documentation?
A) It documents assessments on separate forms. B) It records progress under problems, intervention, and evaluation. C) It provides and refers to client's problem by a number. D) It provides quick access to abnormal findings.
Which of the following are considerations for nursing documentation?
a. Accuracy b. Thoroughness c. Compliance with standards d. Group care plans e. Appropriate goals and interventions f. Discharge planning
A postpartum patient asks the nurse when the subdermal hormone implant for contraception can be inserted. What should the nurse respond to this patient?
A) In 6 weeks B) In 1 month C) 1 week after your next menstrual cycle D) Before being discharged after this delivery
Which assessment technique would be the best for the nurse to use to determine the adequacy of circulation in a client whose blood osmolarity is 250 mOsm/L?
A. Checking urine output B. Measuring abdominal girth C. Monitoring fluid intake D. Comparing the radial pulse with the apical pulse