A client with Simmonds' disease is extremely dehydrated and fails to take oral fluids. Which of the following nursing interventions should the nurse perform when the client is prescribed fluid and drug therapy?
A) Measure the urine output every 30 minutes.
B) Monitor the rate of IV infusions.
C) Measure the fluid intake and output.
D) Weigh the client daily.
A
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After teaching a client with a spinal cord injury, the nurse assesses the client's understanding. Which client statement indicates a correct understanding of how to prevent respiratory problems at home?
a. "I'll use my incentive spirometer every 2 hours while I'm awake." b. "I'll drink thinned fluids to prevent choking." c. "I'll take cough medicine to prevent excessive coughing." d. "I'll position myself on my right side so I don't aspirate."
An 83-year-old resident of a nursing facility worked as a chef until retirement. The resident told the nurse "I am greatly disappointed that food just doesn't taste as good as it used to."
Which of the following facts should underlie the response that then nurse chooses? A) The function of the cranial nerves mediating taste declines with age. B) Decreased taste sensitivity is indicative of periodontal disease or thrush. C) While hearing, sight, and smell diminish with the aging process, taste is normally unaffected. D) The neurological components of the sense of taste normally disappear by the ninth decade.
Which entry in nursing documentation is considered nonjudgmental in reporting findings?
A. The client is confused. B. The client is uncooperative. C. The client demonstrates deceitful behavior. D. The client does not recognize family members.
A nurse is working with a group of clients diagnosed with diabetes and is teaching a class about avoiding the long-term effects of diabetes
The nurse begins the class by reviewing the basic physiology of diabetes, which was taught the week before. Which of the following principles of effective education is the nurse using? a. Stimulating recall of prior learning b. Gaining attention c. Presenting the material d. Providing learning guidance