The nurse caring for a 22-pound 1-year-old child who has had open heart surgery is aware that the minimum acceptable urine output for the child is:
a. 8 mL/hour
b. 10 mL/hour
c. 12 mL/hour
d. 42 mL/hour
B
A 22-pound child weighs 10 kg (22 pounds/2.2 = 10 kg). Using the guideline 1 mL/kg/hour, the minimal acceptable urine output for this child would be 10 mL/hour.
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A nurse delegates care to the unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating care for a client with cranial nerve II impairment?
a. "Tell the client where food items are on the breakfast tray." b. "Place the client in a high-Fowler's position for all meals." c. "Make sure the client's food is visually appetizing." d. "Assist the client by placing the fork in the left hand."
The hospital nurse cares for many patients who have hypertension. What nursing diagnosis is most common among patients who are being treated for this health problem?
A) Deficient knowledge regarding the lifestyle modifications for management of hypertension B) Noncompliance with therapeutic regimen related to adverse effects of prescribed therapy C) Deficient knowledge regarding BP monitoring D) Noncompliance with treatment regimen related to medication costs
A patient is being kept on bedrest during treatment for deep vein thrombosis. The patient is uncomfortable because being in bed is stressful and has made her arthritis worse. Which complementary and alternative therapies might the nurse suggest to help treat this discomfort?
1. Aromatherapy 2. Therapeutic humor 3. Massage 4. Guided imagery 5. Music therapy
A patient who has lung cancer calls the clinic reports facial and neck swelling severe enough so that shirts no longer fit. What question by the healthcare professional there would be most appropriate?
a. “Have you gained weight recently?” b. “Are your feet and ankles swollen?” c. “Does your voice sound hoarse?” d. “When was your last chemotherapy?”