When assessing a client for possible disordered water balance, the nurse checks the client's urine specific gravity. Which result would lead the nurse to suspect that the client is experiencing severe disordered water balance?
A) 1.020
B) 1.011
C) 1.005
D) 1.002
B
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A nurse must violate the personal space of a patient to perform an invasive procedure. How can the nurse reduce the discomfort of the patient?
a. By approaching the interaction in a professional manner b. By distracting the patient with jokes and humor c. By asking another nurse to be present at the bedside d. By assuring the patient that all people dislike invasion of personal space
Normal findings upon examining the breasts of a patient who has undergone breast augmentation are
a. breast tenderness. b. firm tissue remaining erect when the patient is supine. c. decreased nipple and skin sensation. d. incision sites on the anterior and lateral aspects of the breasts.
A patient is in respiratory distress and placed on oxygen. Which is the most appropriate short-term goal?
a. Nasal cannula remains in place. b. Patient completes morning care and eats breakfast. c. Patient verbalizes that he is breathing better after lunch. d. Patient maintains an oxygen saturation of 90% during the shift.
The nurse is planning care for three newly-delivered adolescents and their babies. What should the nurse keep in mind when planning their care?
A. The baby's father should be encouraged to participate in teaching. B. A class for all the adolescents would decrease teaching effectiveness. C. The schools that the adolescents attend will provide teaching on bathing. D. Adolescents understand the danger signals in newborns.