The nurse is calculating intake and output on a patient. The patient drinks 150 mL of orange juice at breakfast, voids 125 mL after breakfast, vomits 250 mL of greenish fluid, sucks on 60 mL of ice chips, and for lunch consumes 75 mL of chicken broth. Which totals for intake and output will the nurse document in the patient's medical record?

A) Intake 255; output 375
B) Intake 285; output 375
C) Intake 505; output 125
D) Intake 535; output 125

A patient living independently had command hallucinations to shout warnings to neighbors. After a short hospitalization, the patient was prohibited from returning to the apartment. The landlord said, "You cause too much trouble." What problem is the patient experiencing?

A) Grief
B) Stigma
C) Homelessness
D) Nonadherence

The sheaths wrapped around nerve fibers of the peripheral nervous system can be:

A) myelinated or unmyelinated.
B) myelinated or striated.
C) striated or unstriated.
D) unmyelinated or unstriated.

A patient with diarrhea is incontinent of liquid stool.The nurse documents that the patient has excoriated skin on the buttocks.Which finding by the nurse led to this documentation?

A) Skin was softened from prolonged exposure to moisture.
B) Superficial layers of skin were absent.
C) The epidermal layer of skin was rubbed away.
D) A lesion caused by tissue compression was present.

A nurse must assess several new patients at a community mental health center. Conclusions concerning current functioning should be made on the basis of:

A) the degree of conformity of the individual to society's norms.
B) the degree to which an individual is logical and rational.
C) a continuum from mentally healthy to unhealthy.
D) the rate of intellectual and emotional growth.

A male student comes to the college health clinic. He hesitantly describes that he found something wrong with his testis when taking a shower. Which assessment finding will alert the nurse to possible testicular cancer?

A) Hard, pea-sized testicular lump
B) Rubbery texture of testes
C) Painful enlarged testis
D) Prolonged diuretic use

Which patient would be a candidate for animal-assisted therapy?

A) An elderly patient with Clostridium difficile diarrhea
B) A patient who has just undergone bone marrow transplantation
C) A young patient with an acute asthma exacerbation and dyspnea
D) A forgetful,irritable patient with a history of Alzheimer's disease

A patient has just had a chest tube inserted to dry-seal suction drainage.Which is a correct nursing intervention for maintenance?

A) Keep the head of the bed flat for 6 hours.
B) Immobilize the patient's arm on the affected side.
C) Keep the drainage system lower than the insertion site.
D) Drain condensation into the humidifier when it collects in the tubing.