A nurse is conducting a nutritional assessment on a client who weighs 165 lb. RDA recommendation for protein is 0.8 g/kg. How many grams of protein should the nurse recommend the client to consume per day? (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 ["60"]

Convert weight from pounds to kilograms:

165 lb÷2.2=75 kg

Multiply by the Recommended Dietary Allowance (RDA) for protein:

75 kg×0.8 g/kg=60 g

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Free Nursing Study Resources

Correct Answer is ["30"]

Explanation

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.

A. Relief of urinary retention B. Convenience for the nursing staff or the client's family C. Routine acquisition of a urine specimen D. Measurement of residual urine after urination E. Presence of an open perineal wound

Correct Answer is ["A","D","E"]

Explanation

A. Relief of urinary retention. Urinary catheterization is indicated for clients who cannot void effectively, which can lead to bladder distension and complications.

B. Convenience for the nursing staff or the client's family. Catheterization should never be done for staff convenience due to the high risk of infection (CAUTI - catheter-associated urinary tract infection).

C. Routine acquisition of a urine specimen. Routine urine specimens should be obtained through clean-catch or midstream methods, unless a sterile sample is required for culture and sensitivity testing.

D. Measurement of residual urine after urination. Catheterization may be needed to measure post-void residual volume in cases of urinary retention.

E. Presence of an open perineal wound. A catheter can help prevent urine contamination of an open wound in the perineal area, reducing the risk of infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["30"]

Explanation

A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of following indications should the nurse include?

Correct Answer is ["A","D","E"]

Explanation

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.)

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?

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 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 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 child is being evaluated for increased work of breathing. While inspecting the child's chest, the nurse notes pulling in or sucking in of the skin between the child's ribs. How might the nurse accurately document this finding?

A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?