The nurse is assessing a patient whose 24-hour output is 2400 mL. Which finding reflects the nurse's understanding of urine output?
a. Increased output
b. Decreased output
c. Normal output
d. Balanced output
C
Know the average output range for a patient. Adult urinary output averages 2200 to 2700 mL in 24 hours.
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A female patient is recovering from breast cancer surgery that included axillary node dissection. The nurse realizes that this patient will need education regarding the potential development of which complication?
1. lymphedema 2. metastasis 3. anemia and bleeding 4. altered shoulder movement
A client with a peptic ulcer colonized with H. pylori asks how the prescription of bismuth (Pepto-Bismol) will help them. Which information should the nurse provide the client?
A. "Bismuth (Pepto-Bismol) increases stomach acid to help kill bacteria." B. "Bismuth (Pepto-Bismol) helps prevent the side effects of antibiotics." C. "Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth." D. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach." E. "Bismuth (Pepto-Bismol) helps relieve ulcer-related constipation."
The nursing care of bariatric patients is much like the care of patients of normal size.
Answer the following statement true (T) or false (F)
The client with cirrhosis is at risk for GI bleeding related to all of the following pathological changes except:
a. increased pressure within the portal circulation. b. weakening of the blood vessels. c. prolonged prothrombin time. d. development of ascites.