A nurse is monitoring the intake and output of a patient who is unable to ambulate to the bathroom. After the patient uses the bedside commode, the nurse should

1. Estimate the amount of urine in the bedside commode.
2. Pour the urine into a graduated container to obtain a measurement.
3. Document that the patient has voided but not try to determine a specific amount.
4. Provide a marked specimen pan to be used the next time the patient uses the bedside commode.


ANS: 2

Nursing

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A patient is diagnosed with thrombocytopenia. The nurse should explain to the patient that with this condition, there could be:

A) An attack on the platelets by the antibodies B) Decreased production of platelets C) Elevated platelet production D) Decreased white blood cell production

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A patient goes to the physician and is told that he has a terminal illness and has six months to live. When he gets home, his daughter asks what the physician said. He tells his daughter that he got a "clean bill of health." This patient is in

A. denial. B. depression. C. bargaining. D. anger.

Nursing

The perinatal nurse talks to the prenatal class attendees about guidelines for exercise in pregnancy. Recommended guidelines include: Select all answers that apply

A) Stopping if the woman is tired B) Bouncing and slowly arching the back C) Increasing fluid intake throughout the physical activity D) Maintaining the ability to walk and talk during exercise

Nursing

In developing a nursing care plan for increasing activity tolerance in a patient, the nurse should (Select all that apply.)

a. Use generalized therapies because they work for everyone. b. Consult with members of the health care team. c. Avoid goals published by the American College of Sports Medicine. d. Involve the patient and the patient's family in designing an exercise plan. e. Consider the patient's ability to increase activity level.

Nursing