A nurse is monitoring a client's fluid balance. Which 24-hour intake and output totals indicates to the nurse that the client has the proper fluid balance?
A. Intake 1600 mL, output 800 mL
B. Intake 1500 mL, output 1400 mL
C. Intake 2400 mL, output 2900 mL
D. Intake 3000 mL, output 2400 mL
Ans: B. Intake 1500 mL, output 1400 mL
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A client has been admitted to the hospital for a virulent infection and is started on antibiotics. The client has laboratory work pending to determine if the diagnosis is meningitis. After starting the antibiotics, what action by the nurse is best?
a. Assess the client frequently for worsening of his or her condition. b. Delegate comfort measures to unlicensed assistive personnel. c. Ensure the client is placed on Contact Precautions. d. Restrict visitors to the immediate family only.
A woman in the first trimester of her first pregnancy is upset and worried about physical changes, the labor and birth process, and being able to care for a newborn. Which action by the nurse is best?
A. Ask the woman about her exposure to newborns. B. Assess the woman for access to a knowledgeable support person. C. Provide information about childbirth preparation classes. D. Reassure the woman that these fears are natural.
According to behavioral theory, the treatment of phobic symptoms should involve which action?
A. The manipulation of the environment B. The use of desensitization C. The use of family therapy D. The uncovering of past events
The nurse is educating a patient about a newly prescribed cholinergic agent. When relaying common adverse effects of this type of medication, the nurse will include information about (Select all that apply.)
a. conjunctival irritation. b. headache. c. salivation. d. hypotension. e. bradycardia.