A nurse assesses a patient's urine and notices that it is dark yellow, concentrated, and lower in volume than normal. The nurse decides to put the patient on intake and output measurement because the patient has a risk for imbalanced fluid volume
This is an example of a(n)
1. Dependent intervention.
2. Indirect intervention.
3. Independent intervention.
4. Collaborative intervention.
ANS: 3
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While speaking with a patient who is experiencing depression, which of the following strategies might be most helpful?
a. speaking very loudly since they are certainly hard of hearing b. recording important information for them in a notebook to refer to later c. ignoring the person and discussing their condition with a family member d. telling them that their depression will go away on its own if they think positively
A client admitted for the regulation of diabetes has a history of osteoarthritis
While developing the plan of care related to the client's musculoskeletal status, the nurse would identify which of the following nursing diagnoses as having the highest priority? 1. Fatigue 2. Disturbed Body Image 3. Ineffective Coping 4. Acute Pain
A client has been placed on protective isolation. Which actions have to be implemented with the care of a client on protective isolation?
1 . Client requires a private room 2 . Healthcare workers cannot take care of the client if they have a cold or influenza 3 . Anyone entering the room must wear a gown and practice strict handwashing before coming in contact with the client 4 . Client cannot receive fresh fruit, fresh vegetables, or flowers A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
The major toxicity associated with neuromuscular blocker overdose is:
A. respiratory muscle paralysis. B. hypercalcemia. C. cardiovascular collapse. D. hyponatremia.