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Calculate the total Intake and Output during your shift from 0700-1500: 0800- 8 oz of apple juice          -4 oz of milk          -4 oz of gelatin (Jell-O)          -500 mL of urine1200- 8 oz of chicken broth        -4 oz of grape juice         – 6 oz of soda         – 4 oz of water with medications1430- 600 mL of urine          – 50 mL of nasogastric drainageContinuous Intravenous (IV) fluids at 50 mL/hr. Intake: _______________ Output: ________________

The nurse is reviewing the laboratory results of a client scheduled for surgery. Which laboratory result should indicate to the nurse that the surgery might be postponed?

The nurse is assisting with triaging clients arriving to the emergency department. Which client is the highest priority?

What is most important for the nurse to regularly monitor on a client receiving vancomycin, due to the risk of nephrotoxicity?

The nurse is assessing/collecting data on a client diagnosed with right-sided heart failure. Which particular characteristic of this condition would the nurse anticipate observing?

Following the change-of-shift report on a heart failure unit, which patient should the nurse prioritize for assessment/data collection first? 

A nurse is caring for a patient prescribed atorvastatin. What guidance should the nurse provide in patient education about this medication?

A client reports having had two bowel movements this morning and refuses a scheduled stool softener. Following the appropriate documentation in the medication administration record (MAR), what action is most appropriate for the nurse to take?

The nurse plans care for a client who is scheduled to have a colonoscopy this morning. Which statement by the client causes the nurse to question the routine plan of care?

A nurse is gathering objective data when admitting a patient. Which assessment/data collection finding is considered objective data?