A nurse receives a new order for a 24-hour urine collection. The best action by the nurse is to
1. Instruct the patient to collect all urine starting at the next even hour.
2. Obtain a bedside commode to collect the urine.
3. Obtain supplies to insert an indwelling catheter.
4. Instruct the patient to void.
ANS: 4
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How can the sources of ADH be described using the terms exogenous and endogenous?
A. Endogenous vasopressin is produced in the hypothalamus and stored until it is needed, while the exogenous form is synthetically produced. B. The endogenous ADH is called ADH, while the exogenous form is synthetically produced and sold by the name vasopressin. C. Exogenous ADH is produced in the hypothalamus and stored until it is needed, while the endogenous form is synthetically produced and sold by the name vasopressin. D. None of these are correct.
The nurse is caring for a patient with the diagnosis of sepsis. The patient is on a ventilator in the critical care unit, and is receiving a proton pump inhibitors (PPI) to reduce the risk for a stress ulcer
In this scenario, a stress ulcer is likely secondary to: a. infection with Helicobacter pylori bacteria. b. decreased acetylcholine production. c. a decreased number of parietal cells. d. ischemia associated with sepsis.
On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet, the nurse should
a. Realize that this situation is perfectly acceptable. b. Offer to hand the baby to the woman. c. Hand the baby to the woman. d. Explain "taking in" to the woman.
Nursing activities for a client with ALS and family include helping them
a. decide on an acceptable level of care early in the course of the disease. b. determine if they want to share the diagnosis to allow genetic testing. c. incorporate nonpharmacologic pain control techniques in the plan of care. d. plan for extensive rehabilitation after exacerbations.