The nurse is caring for a 23-year-old male client who is in the ICU with second and third degree burns over 40 percent of his body. One of the first symptoms that the client is having organ fail-ure is that the urine output is less than:

1. 30 mL/hour
2. 40 mL/hour
3. 50 mL/hour
4. 60 mL/hour


ANS: 1
An output of less than 30 mL/hr indicates possible renal alterations.

Nursing

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The nurse is assessing a client whose chief complaint is an inability to move the fourth and fifth fingers. The nurse notes severe flexion in both of the affected fingers. Upon palpation, there are no complaints of pain from the client

Based on this data, which diagnosis does the nurse suspect? 1. Dupuytren contracture. 2. Carpal tunnel syndrome. 3. Bursitis. 4. Osteoarthritis.

Nursing

The nurse reviews the laboratory results of a client and finds that the white blood cell (WBC) count is 1500/mm3 . What is the priority action of the nurse?

a. Have the client wear a mask at all times. b. Obtain a urine sample for culture and sen-sitivity. c. Administer two units of fresh-frozen plasma. d. Institute reverse isolation precautions.

Nursing

In which client would the MMR vaccine be contraindicated?

1. A client with an allergy to neomycin 2. A client with an allergy to mold 3. A client with an allergy to yeast 4. A client with an allergy to milk

Nursing

An accomplishment for which the Frontier Nursing Service was noted is

1. Improvement of the care of sick and injured soldiers 2. Establishment of a fee-for-service program for workers at Metropolitan Life Insurance Company 3. Reduction of infant and maternal mortality regardless of environmental conditions 4. Increasing funding for communicable disease treatment

Nursing