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22問 • 2年前

問題一覧

What should the nurse keep in mind when maintaining a client's intake and output (1&0) record?

Fluid intake and output is measured in milliliters.

A nurse is ordered to maintain a fluid intake and output record (1&0 record) for a client. During the last 24 hours, the client has had 300 mL of ice. How should the nurse document this?

Fluid intake of 150 mL

What fluids would be recorded as intake? Select all that apply.

Jell-o, IV fluids, Thin cereal, Sherbet

What fluids would be recorded as output? Select all that apply.

Nomitus, Bleeding, Thoracentesis, Urine

The nurse weighs a dressing after it is removed and finds that it weighs 2 fluid oz. An identical dry dressing weights 1 fluid oz. How many milliliters (mL) should the nurse document on the output for the wound drainage?

30ML

What urine specific gravity reading would be consistent for a client currently prescribed a diuretic?

1.005

What urinary specific gravity would be consistent with a normal urine sample?

1.008

A client is admitted to the healthcare facility with severe dehydration. What would the nurse anticipate as the urinary specific gravity in this case?

1.030

The nurse is collecting a urine sample from a retention catheter. What statement accurately describes a step in this process?

Wash the hands and put gloves on both the hands.

What type of urine specimen should the nurse collect to determine the efficiency of the kidneys or to identify abnormalities in the urine?

Single-voided

How much urine is needed when collecting a single-voided specimen?

90 to120ML

The nurse is collecting a "fractional collection" of urine. What are the most common factional collection time segments?

6 hours

Which method is most commonly used to obtain a specimen with minimal contamination from external sources without inserting a sterile catheter?

Midstream

The nurse has to complete a one-time catheterized urine specimen to determine residual urine volume in an older adult. What would be the anticipated amount of residual urine?

50 to 100 mL

A nurse must collect a stool specimen from a client. Among the supplies and equipment the nurse keeps ready for the procedure are wooden tongue blades. What is the purpose of these blades?

To transfer a portion of the feces to the container

What is the most common reason a client is asked to provide a stool specimen for analysis?

dentify proper functioning of accessory Gl organs

What substances should the nurse instruct the client to avoid consuming for 3 days before providing a stool sample for a guaiac test? Select all that apply.

Aspirin, Nonsteroidal anti-inflammatory drugs, Beets, Rare red meat

How many separate guaiac specimens are collected and analyzed before a determination of positive or negative finding is made?

Three separate specimens on 3 separate days

Which type of urine specimen needs to be stored at a cold temperature until it is transport to the laboratory?

24-hour fractional urine specimen

What is the purpose of an ova and parasite (0&P) stool test?

Confirmation of the presence of tapeworms

A nurse is ordered to collect a sputum specimen from a client. The nurse instructs the client to cough up the sputum to obtain the most accurate result. What is the rationale for such an instruction?

Brings up sputum specimen from the lungs

To best assure an accurate result, when should the nurse obtain a client's sputum specimen?

Early morning