How should the nurse measure urinary output for an infant with dehydration?
a. Attaching a urine collecting bag
b. Wringing out the diaper
c. Weighing the diaper
d. Inserting a catheter
ANS: C
Wet diapers are weighed to assess the amount of output.
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Of the following clients on a medical-surgical unit, which one should be observed most closely by
staff for symptoms of depression? a. L, age 36 years, married, diagnosis of laparoscopic cholecystectomy b. M, age 42 years, single, diagnosis of postoperative bilateral vein ligation c. T, age 24 years, married, diagnosis of infectious hepatitis d. C, age 38 years, divorced, diagnosis of testicular carcinoma
Which of the following are stages of the continuity life cycle? Select all that apply
1. Organizational structure and objectives 2. Analysis 3. Implementation 4. Solution design 5. Testing and acceptance
A client with poorly controlled hypertension has a blood pressure of 190/96 mm Hg. Which food item should the nurse identify that may have contributed to this elevated measurement?
a. Coffee b. Banana c. Oat meal d. Scrambled eggs
In caring for the family after perinatal loss, it would be helpful for the nurse to
a. allow the family to hold the baby b. let a family member or neighbor dispose of the infant's toys, furniture, and so on, to avoid unnecessary trauma to the parents c. discourage them from naming the baby or planning a formal burial, as this fosters at-tachment d. isolate the woman from other mothers with healthy infants