The nurse would become concerned about the risk of hemorrhage if, in the first 2 hours after surgery, the thoracotomy client's drainage exceeded
a. 50 ml.
b. 100 ml.
c. 300 ml.
d. 750 ml.
C
As much as 500 to 1000 ml of drainage may occur in the first 24 hours after chest surgery. Between 100 and 300 ml of drainage may accumulate during the first 2 hours; after this time, the drainage should lessen.
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A client with stage 2 Alzheimer's disease calls the police, saying an intruder is in her home. The
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The nurse is caring for a patient with renal artery stenosis who has been prescribed benazepril [Lotensin]. Which laboratory result indicates an adverse effect of this drug?
A. Potassium level of 3.2 mEq/L B. Blood glucose level of 180 mg/dL C. Serum creatinine level of 2.3 mg/dL D. Uric acid level of 10 mg/dL
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a. 2 mL b. 2.25 mL c. 3 mL d. 2.75 mL
A client who is Chinese American has been diagnosed with an anxiety disorder. The client tells the
nurse she thinks her symptoms began when her energy became imbalanced. When the nurse asks what ideas the client has about ways of treating the imbalance, the nurse should expect the client to suggest a plan for a. eating special foods. b. taking antianxiety medication. c. undergoing cognitive behavior therapy. d. having a native healer perform a ritual.