A nurse notes documentation in a client's medical record indicating that the client is experiencing oliguria. On the basis of this notation, the nurse determines which about the client when planning care?
A. Is unable to produce urine
B. Is voiding large amounts of urine
C. Has difficulty with leakage of urine
D. Has a diminished capacity to form urine
Ans: D. Has a diminished capacity to form urine
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The support of the nurse for the client in a therapeutic relationship encourages what from the client?
A) Submission and growth B) Change and goal setting C) Growth and change D) Interpersonal stability
The nurse is removing personal protective equipment. Which nursing action demonstrates the appropriate technique for removing a mask?
1. Bend the strip at the top of the mask. 2. Loop the ties over the ears. 3. Tie the strings in a bow. 4. Touch the mask by the strings only.
You are working on the oncology division at a local hospital. An elderly patient has just passed away. He was very close to his grandchildren. To address care of the family, the nurse should
A) Assist with funeral arrangements at the mortuary B) Assure preschoolers it is not their fault C) Tell toddlers grandpa died and is not coming back D) Only allow immediate family with the deceased
The nurse is reinforcing teaching about the symptoms of hypertension for a patient who has a blood pressure of 198/110 mm Hg
The patient had headaches 2 years ago from high blood pressure. After taking antihypertensive medication, the headaches stopped, so the patient stopped the medication. What should the teaching include? a. Symptoms occur only when there is an impending stroke. b. Symptoms may not always be present. c. Symptoms are always present. d. Symptoms occur only with malignant hypertension.