The nurse is precepting a student nurse. The primary nurse asks the student nurse to figure the client’s intake and output for the shift. Which statement by the student nurse indicates an understanding of this procedure?

“Wound drainage is not included in output measurement.” “I only need to count urinary output for my output total.” “I don’t need to count the client’s emesis since it was a small amount.” “I will include all IV fluids, liquids the client drank, IV flushes, and IV antibiotics in my intake total.”

A 47-year-old client presents to the emergency department with severe hypotension, muscle weakness, fatigue, and vomiting. Labs reveal a potassium level of 6.1 mEq/L and a sodium level of 128 mEq/l. Which of the following should the nurse anticipate for this client?

administration of IV spironolactone boluses of Lactated Ringer’s to increase blood pressure administration of IV saline, dextrose, or hydrocortisone boluses of 0.45% normal saline with 40 mEq/L of potassium

The nurse is caring for a client in the ICU who has an arterial line for hemodynamic monitoring. Which action will the nurse take in caring for this client?

position the client with the transducer at the level of the right atrium position the client with the transducer at the level of the left ventricle position the client with the transducer at the level of the right clavicle position the client with the transducer at the level of the right ventricle

The nurse is precepting a student nurse on leukemia classifications. Which statement by the student nurse reflects an understanding of classifications of leukemia?

“Acute lymphocytic leukemia has an average age of onset of 15 to 39 years.” “Chronic myelogenous leukemia contains mostly granulocytes in the bone marrow.” “Chronic myelogenous leukemia has mostly lymphocytes found in the bone marrow.” “Acute myelogenous leukemia has primarily granulocytes present in the bone marrow.”

The nurse is caring for a client with a T-tube following a cholecystectomy. Which statement is correct regarding management of these tubes?

keep the drainage system at the level of the heart report foul order and purulent drainage to the health care provider remove the tube when drainage slows to less than 50 mL every 8 hours do not clamp or irrigate the T-tube without orders from the health care provider clamp the tube before meals and…