A nurse is assessing a client who has a urine output of 250 mL in a 24 hour. Which of
the following descriptive terms should the nurse place in the clients electronica record?
Enuresis
Anuria
Nocturia
Oliguria - ️️Oliguria
low urine output. between 100ml-400ml in 24hrs
A nurse is assisti...
PVCC NSG 100 EXAM 2
A nurse is assessing a client who has a urine output of 250 mL in a 24 hour. Which of
the following descriptive terms should the nurse place in the clients electronica record?
Enuresis
Anuria
Nocturia
Oliguria - ✔️✔️Oliguria
low urine output. between 100ml-400ml in 24hrs
A nurse is assisting with a routine physical examination of an adolescent the provider
observes a lateral curvature of the spine. the nurse should expect the provider to
document which of the following disorders
A nurse is caring for a client who receives furosemide to treat heart failure. which of the
following laboratory values should the nurse monitor for this client due to this medication
Potassium
albumin
cortisol
bicarbonate - ✔️✔️Potassium
Furosemide is a loop diuretic that promotes the excretion of potassium. Watch for
hypokalemia
A nurse is assessing a client notes that the client has a constant leakage of small
amounts of urine and a bladder that is distended and palpable. the nurse should
associate these findings with which of the following urinary incontinence
Pressure of urine in an over full bladder overcomes sphincter control
, A nurse is assessing a client who has required strict bed rest for one week. which of the
following findings should the nurse identify as an indication that the client is ready to
ambulate
Needs assistance raising her legs to put socks on
demonstrates mild dyspnea when eating breakfast
performs active range of motion exercises of all extremities - ✔️✔️Performs active
range of motion exercises of all extremities
A nurse is caring for a client who is two days post operative following and above the
knee amputation. which of the following is an appropriate nursing intervention for this
client at this time?
Elevate the foot of the bed
encourage the client to sit up as much as possible
evaluate the clients residual limb on a pillow
have a client lie prone every three hours for 20 minutes at a time - ✔️✔️have a client
lie prone every three hours for 20 minutes at a time
helps prevent hip flexion contractures .
A nurse is teaching a client who has constipation. which of the following should the
nurse discussed as causes of constipation (select all that apply)
Excessive laxative use
ignoring the urge to defecate
inadequate fluid intake
increased fiber in the diet
increased activity - ✔️✔️Excessive laxative use
ignoring the urge to defecate
inadequate fluid intake
A nurse is teaching a client who is perimenopausal and has recurrent lower back pain.
which of the following client statements indicates an understanding of the teaching
I can wear heels up to 2 1/2 inches in height
I should sleep lying flat with my legs extended straight
I should increase high potassium foods in my diet
I should keep my weight within 10% of my ideal weight - ✔️✔️I should keep my weight
within 10% of my ideal weight
Excessive body weight can place increase stress on the structures of the lower back
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