A client's intake was the following:
1 1/4 cup of coffee (1 cup = 8 oz)
4 oz cranberry juice
1 1/2 bowls of chicken broth (1 bowl = 6 oz)
3 1/2 glasses of water (1 glass = 6 oz)
The client voided urine as follows: 260 mL, 180 mL, 500 mL, and 425 mL
Calculate the client's I&O in mL.
a. Intake: _____ mL
b. Output: _____ mL
ANS: a. 1,320; b. 1,365
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Which example of behavior within a family system should be assessed as double-bind communication?
a. A mother tells her daughter, "You make me so mad that sometimes I wish I had never had you.". b. A teenager tells her father, "You are treating me like a baby when you tell me I must be home by 10 PM on a school night.". c. A son tells his mother, "You worry too much about what might happen; nothing has happened yet so why worry?" d. A wife tells her husband, "You go ahead and go bowling and try not to worry about me falling on my crutches while I'm alone at home.".
During a visit by the hospice nurse, an older adult Hispanic male patient dies. To honor the cultural traditions, the nurse should:
a. have the body removed as quickly as possible. b. call the priest immediately. c. cover the face with a clean white cloth. d. provide time for lengthy family visitation.
When caring for patients on vasodilators that dilate veins, the nurse must monitor for which of the following groups of adverse side effects, which result from decreased preload, decreased cardiac output, and decreased tissue perfusion?
a. Increased chest discomfort, shortness of breath, and increased urine output b. Increased afterload, decreased blood pressure, and presence of carotid bruit c. Decreased urine output, decreased cognitive ability, and decreased peristalsis d. Increased shortness of breath, palpitations, and varicose veins
A pregnant patient has a hemoglobin of 10 g/dl and a Hct of 30%. The clinic nurse recognizes the fetus is at risk for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Macrosomia. 2. Respiratory distress syndrome. 3. Low birth weight. 4. Prematurity. 5. Prenatal mortality.