A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the client's hourly urine output falls below what amount? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["30"]

30 mL: Minimum acceptable hourly urine output in adults, indicating adequate kidney perfusion.

Less than 30 mL/hr: Suggests oliguria, which may indicate impaired renal function or decreased perfusion, requiring provider notification.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. "I isolate myself in my room for a few hours when things get overwhelming." Social isolation can contribute to emotional distress rather than alleviate stress effectively.

B. "I think about being on my favorite beach vacation." This is an example of visualization or guided imagery, a healthy coping mechanism to reduce stress.

C. "I call a friend who makes me smile and laugh." Social support is a well-known strategy for managing stress in a positive manner.

D. "I tense and release my muscles, starting with my feet." This describes progressive muscle relaxation, a recognized technique to relieve stress and anxiety.

E. "I sleep in in the mornings." While rest is important, excessive sleeping may indicate avoidance rather than healthy stress management.

A. A reddened area over the sacrum B. Difficulty moving the upper extremities C. Stiffness in the lower extremities D. Difficulty hearing some types of sounds

Correct Answer is A

Explanation

A. A reddened area over the sacrum. This is an early sign of a pressure ulcer, a common complication of immobility in bed-bound clients.

B. Difficulty moving the upper extremities. While weakness may occur after a stroke, this is not a complication of immobility but rather a direct effect of neurological damage.

C. Stiffness in the lower extremities. Some stiffness may occur, but contractures or deep vein thrombosis (DVT) would be more concerning immobility-related complications.

D. Difficulty hearing some types of sounds. Hearing loss is not a complication of immobility.

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A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the client's hourly urine output falls below what amount? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicate adaptive coping? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

An older adult client in a long-term care facility had a stroke 4 weeks ago and has been unable to move independently since that time. The nurse caring for her should observe for which of the following findings that indicates a complication of immobility?

Correct Answer is A

Explanation

A nurse is checking a school-age child for pediculosis capitis (head lice). Which of the following findings is a definitive indication of this condition?

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?

A nurse is collecting data from a client who has contact dermatitis of the neck and upper chest. Which of the following findings should the nurse expect?

A nurse is contributing to the plan of care for a client who has frequent diarrheal stools. Which of the following interventions should the nurse include in the plan?

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.)

A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence?

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?