When adding a client's intake and output, the nurse does not need to include which of the following in the calculation?
1. Oral intake
2. Intravenous fluid intake
3. Nasogastric tube drainage
4. Suctioned sputum
ANS: 4
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During an interview, the nurse states, "You mentioned having shortness of breath. Tell me more about that." Which verbal skill is used with this statement?
a. Reflection b. Facilitation c. Direct question d. Open-ended question
The nurse is caring for a client diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?
1. "I am having many hot flashes since I had the Lupron injection." 2. "The pain I experience with intercourse is becoming more severe." 3. "My leg has become painful and swollen since I started taking birth control pills." 4. "I've noticed my voice is lower since I started taking danazol."
Although the postoperative assessment of the client reveals no abnormalities, the nurse believes the client?s condition is deteriorating and orders frequent vital signs
This intervention was made on the basis of which type of problem solving? Select all that apply. 1. Trial and error method 2. Experimentation 3. Intuition 4. Satisficing 5. Past experiences
A patient diagnosed with colon cancer is being prepared for palliative surgery to correct an intestinal obstruction. The nurse understands that palliative surgery is:
1. the removal and study of tissue to make a diagnosis. 2. done to relieve symptoms or improve function without correcting the basic prob-lem. 3. done to remove diseased tissue or to correct defects. 4. done to correct serious defects that only affect appearance.