The nurse is admitting a healthy 35-year-old woman to the outpatient surgery department for the removal of a plantar wart. She consumes approximately 2000 cal/day. What is her recommended intake of water?
A) 1000 mL of fluid per day C) 2000 mL of fluid per day
B) 1500 mL of fluid per day D) 2500 mL of fluid per day
C
Feedback:
There are three methods to estimate fluid needs. When the amount of calories per day is known, then the method of 1 mL/cal consumed can be used. Because this client consumes 2000 cal/day, 2000 cal/day × 1 mL/cal = 2000 mL/day.
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The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client's is experiencing a vision problem? Select all that apply
1. The client is frowning and squinting while she is reading the Snellen chart. 2. The client exhibits a symmetrical pupillary light reflex response. 3. As the nurse checks for accommodation, the pupils remain dilated. 4. The client's near vision acuity is 14/14 bilaterally. 5. When the cornea is lightly touched in the right eye, both eyelids close.
A patient who has been blind since birth is admitted to the hospital. Which actions should the nurse take when caring for this patient?
Select all that apply. 1. Orient the patient verbally and physically to the layout of the room. 2. Leave the room door partially open. 3. Place signs to remind staff not to move equipment. 4. Ensure the television is on at all times. 5. Tell the patient you will leave the light on 24 hours a day.
A 65-year-old male with a 15-year history of diabetes type 2 complains of erectile dysfunction. Select the best nursing diagnosis to add to the plan of care
1. Noncompliance related to ineffective control of blood glucose, as evidenced by erectile dysfunction and loss of libido 2. Activity intolerance related to chronic disease processes secondary to diabetes type 2, as evidenced by erectile dysfunction 3. Body image disturbance related to erectile dysfunction, as evidenced by the patient's complaints of loss of libido 4. Sexual dysfunction related to microvascular changes secondary to diabetes type 2, as evidenced by erectile dysfunction
The manner in which each person satisfies personal psychological needs reflects the personality.
Answer the following statement true (T) or false (F)