An elderly client tells the nurse that she is having difficulty sleeping because she is up all night voiding since she has been told to drink eight glasses of water every day. Which of the following should the nurse assess in this client?
a. Volume of urine output with each episode of voiding
b. Ambulatory status
c. Appetite
d. Time in which the fluids are being ingested
ANS: D
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A psychiatric–mental health nurse is documenting information in a patient's medical record. Which of the following would be least likely to increase the nurse's legal liability?
A) "Patient reported that he was feeling better today than yesterday." B) "Administered haloperidol 10 mg IM stat as ordered for agitation." C) "Patient was talking with another staff member and started screaming." D) "Applied restraints to all four patient extremities."
Benefit-cost analysis examines resources used and outcomes attained. What is the challenge in such a determination?
A. Can all the indirect, less visible costs be calculated? B. How can a dollar value be appropriately placed on benefits? C. The math becomes exceedingly complex, requiring computer software for calculations. D. It is not possible to control all the variables in both cost and benefits.
A patient states that his legs have pain with walking that decreases with rest. The nurse observes absence of hair on the patient's lower leg and the patient has a thready, posterior tibial pulse. How would the nurse position the patient's legs?
a. Elevated b. Crossed at the knee c. Slightly bent with a pillow under the knees d. Dependent position
Calculate Mrs. C's ABW using her weight prior to pregnancy