Which of the following ranges for urine output in 24 hours is considered normal for an adult?
A) 1,000–1,200 cc
B) 1,200–1,500 cc
C) 1,600–1,900 cc
D) 2,000–2,400 cc
Ans: B
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A client with acquired immune deficiency syndrome has oral thrush and difficulty eating. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Apply oral anesthetic gels before meals. b. Assist the client with oral care every 2 hours. c. Offer the client frequent sips of cool drinks. d. Provide the client with alcohol-based mouthwash. e. Remind the client to use only a soft toothbrush.
The physician orders continuous electronic fetal monitoring for a client in labor. The nurse understands that which of the following must be present?
A) Intact membranes C) Cervical dilation of 2 cm or more B) Floating presenting fetal part D) Neonatologist to insert the electrode
A nurse is caring for a client dying of HIV-related pneumonia. The client is unable to come to terms with the fact that she is dying and feels that life has been unfair to her. How can the nurse promote acceptance of death in this client?
A) Tell the client that the illness can be overcome. B) Ask the client if she wants to meet and thank her loved ones. C) Inform the client that the reports show improvement. D) Ask the relatives not to discuss death in front of the client.
What should a nurse document when assessing a new pressure ulcer? (Select all that apply.)
a. Precise measurement of the ulcer b. Location of the wound and its description c. Color of the ulcer d. Amount and characteristics of the drai-nage e. Probable cause of the ulcer